A 63-year-old woman with known COPD is admitted with increased breathlessness, purulent sputum, and wheeze. She is using Salbutamol and Tiotropium inh...

Question

A 63-year-old woman with known COPD is admitted with increased breathlessness, purulent sputum, and wheeze. She is using Salbutamol and Tiotropium inhalers. She has no signs of pneumonia on chest X-ray. According to NICE COPD guidance, which additional treatment should be started for this acute exacerbation?

Accepted Answer

Short course of oral Prednisolone

Answer

Oral Amoxicillin only

Answer

Switch Tiotropium to a long-acting beta-agonist alone

Answer

Start high-dose IV Methylprednisolone for 1 month

Answer

No additional treatment is indicated

uk-plab-1 MCQ (SBA): Acute exacerbation of COPD