A 67-year-old man with chronic bronchitis presents with increased sputum purulence, dyspnoea and sputum volume. He has an FEV1 of 45% predicted and us...

Question

A 67-year-old man with chronic bronchitis presents with increased sputum purulence, dyspnoea and sputum volume. He has an FEV1 of 45% predicted and usually uses a LAMA inhaler. According to COPD exacerbation management recommendations, what is the most appropriate treatment addition?

Accepted Answer

Oral prednisone and a short course of antibiotics

Answer

High-dose inhaled corticosteroids only

Answer

Long-term macrolide prophylaxis only

Answer

No change; this is his baseline state

Answer

Immediate intubation in all such exacerbations

ca-mccqe1 MCQ (SBA): COPD exacerbation

A 67-year-old man with chronic bronchitis presents with increased sputum purulence, dyspnoea and sputum volume. He has an FEV1 of 45% predicted and usually uses a LAMA inhaler. According to COPD exacerbation management recommendations, what is the most appropriate treatment addition?