ca-mccqe1 MCQ (SBA): Acute exacerbation of COPD

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MediumRespiratoryAcute exacerbation of COPDca-mccqe1ca-rcpsc-emca-rcpsc-im

A 72-year-old man with COPD (FEV₁ 40% predicted) presents with a 3-day history of increased dyspnoea, purulent sputum, and wheeze. On exam, he is tachypnoeic with widespread wheezes but normal blood pressure and no confusion; SpO₂ is 90% on room air. According to Canadian COPD pharmacotherapy guidance, which combination best reflects initial management of this acute exacerbation in the emergency department?

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