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COPD Exacerbation — SCE Respiratory MCQ

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ModerateRespiratory MedicineCOPD ExacerbationSCE Respiratory

A 61-year-old with COPD exacerbation in the ED asks about antibiotics. Sputum is purulent and dyspnoea increased. Which is true?

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Correct answer: A — Antibiotics are indicated when increased dyspnoea, sputum volume, and/or purulence are present

Exacerbations with increased dyspnoea, sputum volume and/or purulence benefit from antibiotics per GOLD. Fever alone does not determine therapy; long macrolide courses are not routine.

Reference: GOLD Pocket Guide (2025): Global Strategy for COPD