COPD (ICS risk/benefit) — SCE Respiratory MCQ

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HardRespiratory MedicineCOPD (ICS risk/benefit)SCE Respiratory

A patient has expiratory wheeze, barking cough and recurrent “COPD exacerbations”. Dynamic expiratory CT shows greater than 90% collapse of the trachea. What is the diagnosis?

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Correct answer: A — Tracheobronchomalacia

Marked expiratory central-airway collapse indicates tracheobronchomalacia or excessive dynamic airway collapse. Dynamic bronchoscopy can define morphology and severity; management addresses causes and may include positive airway pressure, airway-clearance support or specialist stent and surgical assessment.

Reference: https://www.nice.org.uk/guidance/conditions-and-diseases/respiratory-conditions