Question

A 69-year-old with COPD exacerbation has increased dyspnea, sputum volume, and purulence. SpO2 90% on room air. Which systemic therapy is recommended?

Accepted Answer

Prednisone 40 mg daily for 5 days and an antibiotic

Answer

Prednisone taper over 21 days without antibiotics

Answer

Azithromycin only for 3 days

Answer

High-dose IV methylprednisolone for 10 days

Answer

No systemic steroids if already on inhaled therapy

Practice question

A 69-year-old with COPD exacerbation has increased dyspnea, sputum volume, and purulence. SpO2 90% on room air. Which systemic therapy is recommended?