A 66-year-old male smoker with COPD presents with increased breathlessness, a change in sputum colour to green, and increased sputum volume over the p...

Question

A 66-year-old male smoker with COPD presents with increased breathlessness, a change in sputum colour to green, and increased sputum volume over the past 3 days. He has no features of pneumonia on examination. His temperature is 37.9°C. What is the most appropriate management?

Accepted Answer

Start amoxicillin 500mg three times daily for 5 days

Answer

Start doxycycline 200mg on day 1, then 100mg daily for 5 days

Answer

Start ciprofloxacin 500mg twice daily for 5 days

Answer

Advise increased use of salbutamol inhaler only

Answer

Refer to hospital for intravenous antibiotics

ukmla MCQ (SBA): Acute Exacerbation of COPD

A 66-year-old male smoker with COPD presents with increased breathlessness, a change in sputum colour to green, and increased sputum volume over the past 3 days. He has no features of pneumonia on examination. His temperature is 37.9°C. What is the most appropriate management?