skip to main content

COPD exacerbation — ABFM Board MCQ

Instant feedback + full explanation. One question, done properly.

ModerateRespiratoryCOPD exacerbationABFM Board

A 67-year-old man with COPD has increased dyspnea, sputum volume, and sputum purulence for 3 days. Oxygen saturation is 93% on room air and he is stable for outpatient treatment. Which of the following is the most appropriate initial treatment?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: B — Short-acting bronchodilators plus prednisone and antibiotics

Anthonisen symptoms in a COPD exacerbation support bronchodilator intensification, systemic corticosteroids, and antibiotics when sputum purulence is present.

Reference: American Family Physician clinical reviews and AAFP guidance: https://www.aafp.org/pubs/afp.html