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COPD exacerbation — USMLE Step 3 MCQ

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ModerateInternal Medicine (Chronic Management)COPD exacerbationUSMLE Step 3

A 66-year-old man with COPD calls for increased dyspnea, sputum volume, and sputum purulence for 2 days. He speaks in full sentences, oxygen saturation is 93% on room air, and chest x-ray shows no pneumonia. Which of the following is the most appropriate next step in management?

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Correct answer: B — Treat with bronchodilators, prednisone, and antibiotics

COPD exacerbation with increased dyspnea, sputum, and purulence is treated with bronchodilators, systemic steroids, and antibiotics.

Reference: Current US clinical practice standards and USMLE Step 3 content outline, https://www.usmle.org/exam-resources/step-3-materials