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Asthma-Exacerbation Prevention — SCE Respiratory MCQ

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HardRespiratory MedicineAsthma-Exacerbation PreventionSCE Respiratory

A patient with severe upper-lobe-predominant emphysema has marked hyperinflation, low exercise capacity after rehabilitation and no major pulmonary hypertension. What intervention should be evaluated?

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Correct answer: B — Lung-volume-reduction assessment

Selected patients with severe heterogeneous emphysema and hyperinflation benefit from surgical or bronchoscopic lung-volume reduction after multidisciplinary assessment. Distribution, fissure integrity, collateral ventilation, gas transfer, exercise capacity and comorbidity determine suitability.

Reference: NICE NG115: COPD in over 16s. https://www.nice.org.uk/guidance/ng115/chapter/recommendations