Question

A 68-year-old former smoker with COPD (FEV₁ 45% predicted) presents with increased dyspnoea, purulent sputum and wheeze for 3 days. There is no pneumonia on chest X-ray. Which of the following is the most appropriate initial management in primary care?

Accepted Answer

Oral corticosteroids and increased inhaled bronchodilators, plus consider antibiotics

Answer

High-dose oral corticosteroids for 4 weeks without bronchodilators

Answer

Start long-term oral theophylline only

Answer

Immediate intubation and ventilation

Answer

No treatment is necessary; reassurance only

Practice question

A 68-year-old former smoker with COPD (FEV₁ 45% predicted) presents with increased dyspnoea, purulent sputum and wheeze for 3 days. There is no pneumonia on chest X-ray. Which of the following is the most appropriate initial management in primary care?