BODE Index Components — SCE Palliative Medicine MCQ

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ModerateNon-Malignant Palliative CareBODE Index ComponentsSCE Palliative Medicine

A 72‑year‑old man with advanced COPD has been stable for months but his disease continues to progress. His palliative care consultant uses the BODE index to assess prognosis. What does the BODE index measure?

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Correct answer: B — Body mass index, airflow obstruction (FEV₁), dyspnoea (MRC scale), and exercise capacity (6‑minute walk test) — a multidimensional prognostic index for COPD.

The correct answer is B. The BODE index integrates four domains—Body mass index, Airflow Obstruction (FEV₁ % predicted), Dyspnoea (MRC scale), and Exercise capacity (6‑minute walk test)—to provide a multidimensional prognostic score in COPD. NICE confirms this composite structure in its IP overview ([nice.org.uk](https://www.nice.org.uk/guidance/htg517/documents/overview?utm_source=openai)). Although NICE NG115 advises against routine prognostic use of BODE in stable COPD due to impracticality, it clearly acknowledges the components it comprises ([nice.org.uk](https://www.nice.org.uk/guidance/ng115/chapter/Recommendations?utm_source=openai)). The other options omit key elements or include irrelevant measures, making them incorrect.

Reference: NICE NG115 (2018, updated 2019) – BODE Index components and its recommendation; NICE IP overview explaining BODE acronym (2019). https://www.nice.org.uk/guidance/ng115/chapter/Recommendations