A 71-year-old smoker with COPD presents with increased sputum purulence and dyspnoea but no pneumonia on CXR. CURB-65=0. Sputum is green. When are ant...

Question

A 71-year-old smoker with COPD presents with increased sputum purulence and dyspnoea but no pneumonia on CXR. CURB-65=0. Sputum is green. When are antibiotics indicated in COPD exacerbation in primary care?

Accepted Answer

When increased sputum purulence is present with increased dyspnoea and/or sputum volume

Answer

Only if CRP >100 mg/L

Answer

Antibiotics are never indicated in COPD exacerbations

Answer

Only if wheeze present

Answer

Only if oxygen saturation

ukmla MCQ (SBA): Acute Exacerbation of COPD

A 71-year-old smoker with COPD presents with increased sputum purulence and dyspnoea but no pneumonia on CXR. CURB-65=0. Sputum is green. When are antibiotics indicated in COPD exacerbation in primary care?