COPD exacerbation — SCE Respiratory MCQ

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ModerateRespiratory MedicineCOPD exacerbationSCE Respiratory

A 62-year-old with COPD exacerbation has increased dyspnoea, sputum volume, and sputum purulence. No pneumonia on CXR. Indication for antibiotics?

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Correct answer: A — Yes, antibiotics are indicated based on Anthonisen criteria

Antibiotics are indicated in AECOPD when all three cardinal symptoms are present (dyspnoea, increased sputum volume, increased purulence) or in those requiring ventilatory support. Blanket PCT thresholds are not required. Hypoxia alone is not the criterion.

Reference: ATS Clinical Practice Guideline (2020): Pharmacologic Management of COPD-Exacerbations