E — SCE Respiratory MCQ

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Moderatecopd strategyESCE Respiratory

A 70-year-old woman with COPD exacerbation lacks increased sputum purulence but has dyspnea and wheeze. Antibiotics?

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Correct answer: B — No; antibiotics reserved unless increased purulence or need for ventilation

Antibiotics are indicated with increased purulence plus increased volume/dyspnea or if ventilated. Without purulence, steroids and bronchodilators suffice. Routine antibiotics are not indicated.

Reference: secondary source: gold report (2025): copd strategy