Question

A 65-year-old man with a long history of smoking presents with chronic productive cough and progressive exertional dyspnoea. Spirometry confirms COPD. He now has an acute exacerbation with increased sputum volume and purulence and breathlessness. What is the most appropriate initial management in primary care?

Accepted Answer

Short course of oral Prednisolone plus an appropriate oral antibiotic

Answer

Immediate long-term oxygen therapy at home without assessment

Answer

Start inhaled corticosteroids alone

Answer

Start a long-acting muscarinic antagonist only

Answer

Refer immediately for lung transplantation

Practice question