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Acute exacerbation of COPD — MCCQE Part 1 MCQ

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ModerateDyspneaAcute exacerbation of COPDMCCQE Part 1

A 70-year-old man with COPD Gold III has acute worsening dyspnoea, increased sputum purulence and volume over 3 days. SpO2 88%. Most appropriate initial management?

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Correct answer: E — Short-acting bronchodilators, systemic corticosteroids, and antibiotics

AECOPD with all Anthonisen criteria. CTS: SABA +/- ipratropium, prednisone 40mg x5d, and antibiotics for moderate-severe exacerbations with purulent sputum.

Reference: CTS COPD Guidelines 2023