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COPD exacerbation — USMLE Step 3 MCQ

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ModerateInternal Medicine (chronic management)COPD exacerbationUSMLE Step 3

A 73-year-old man with COPD has increasing dyspnea and purulent sputum for 3 days. Oxygen saturation is 91% on room air, and he has diffuse wheezing. He is alert and able to eat. Chest radiograph shows no infiltrate. Which of the following is the most appropriate next step in management?

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Correct answer: E — Treat with inhaled bronchodilators, systemic glucocorticoids, and antibiotics

COPD exacerbation with increased dyspnea and purulent sputum is treated with bronchodilators, systemic glucocorticoids, and antibiotics.

Reference: GOLD COPD strategy; IDSA respiratory infection guidance