A 60-year-old man with COPD presents with increasing dyspnoea, purulent sputum and wheeze. He is using salbutamol inhaler more frequently. SpO₂ is 90%...

Question

A 60-year-old man with COPD presents with increasing dyspnoea, purulent sputum and wheeze. He is using salbutamol inhaler more frequently. SpO₂ is 90% on room air. According to COPD exacerbation management guidelines, which treatment combination is MOST appropriate?

Accepted Answer

Short course of oral prednisone plus increased bronchodilators, and consider antibiotics if increased sputum purulence and dyspnoea

Answer

Increase salbutamol use only

Answer

Start long-term oral theophylline

Answer

Start inhaled corticosteroid monotherapy

Answer

Admit and intubate immediately

ca-mccqe1 MCQ (SBA): COPD exacerbation

A 60-year-old man with COPD presents with increasing dyspnoea, purulent sputum and wheeze. He is using salbutamol inhaler more frequently. SpO₂ is 90% on room air. According to COPD exacerbation management guidelines, which treatment combination is MOST appropriate?