Question

A 58-year-old patient with chronic bronchitis is on maximal inhaled therapy but still experiencing frequent exacerbations. He has significant breathlessness impacting his quality of life. Which therapy is recommended to improve exercise capacity and may reduce hospital admissions?

Accepted Answer

C. Long-term oxygen therapy if hypoxaemic

Answer

A. Long-term antibiotic prophylaxis

Answer

B. Azithromycin daily for 6 months

Answer

D. Nebulised hypertonic saline

Answer

E. Oral mucolytics (e.g., carbocisteine)

Practice question

A 58-year-old patient with chronic bronchitis is on maximal inhaled therapy but still experiencing frequent exacerbations. He has significant breathlessness impacting his quality of life. Which therapy is recommended to improve exercise capacity and may reduce hospital admissions?