A 59-year-old smoker with COPD exacerbation has increased dyspnea and sputum purulence but no increase in volume; not ventilated. Should antibiotics b...

Question

A 59-year-old smoker with COPD exacerbation has increased dyspnea and sputum purulence but no increase in volume; not ventilated. Should antibiotics be prescribed?

Accepted Answer

Yes, if two cardinal symptoms are present and one is purulence

Answer

Yes, for all COPD exacerbations

Answer

Yes, because sputum purulence is present even without other symptoms

Answer

No, because antibiotics require all three cardinal symptoms

Answer

No, antibiotics only if ICU admission

us-abfm MCQ (SBA): COPD Exacerbation

A 59-year-old smoker with COPD exacerbation has increased dyspnea and sputum purulence but no increase in volume; not ventilated. Should antibiotics be prescribed?