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COPD Exacerbation Prevention — SCE Respiratory MCQ

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HardRespiratory MedicineCOPD Exacerbation PreventionSCE Respiratory

A 42-year-old woman with anti-MDA5 dermatomyositis develops rapidly worsening breathlessness and new bilateral ground-glass change over two weeks. What is the management priority?

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Correct answer: C — Urgent specialist treatment for rapidly progressive ILD

Anti-MDA5 dermatomyositis is strongly associated with rapidly progressive interstitial lung disease and high early mortality. Urgent multidisciplinary assessment and prompt combination immunosuppression are required while infection is actively excluded.

Reference: https://www.brit-thoracic.org.uk/quality-improvement/guidelines/