A 66-year-old man with COPD reports increased dyspnea, sputum volume, and purulent sputum for 2 days. Oxygen saturation is 92% on room air, and he is

Question

A 66-year-old man with COPD reports increased dyspnea, sputum volume, and purulent sputum for 2 days. Oxygen saturation is 92% on room air, and he is speaking in full sentences. Chest x-ray shows no pneumonia. Which of the following is the most appropriate next step in management?

Accepted Answer

Treat with short-acting bronchodilators, prednisone, and antibiotics

Answer

Withhold bronchodilators

Answer

Start long-term oral prednisone as maintenance

Answer

Treat with oseltamivir alone

Answer

Perform immediate lung transplant evaluation

COPD exacerbation — USMLE Step 3 MCQ

A 66-year-old man with COPD reports increased dyspnea, sputum volume, and purulent sputum for 2 days. Oxygen saturation is 92% on room air, and he is speaking in full sentences. Chest x-ray shows no pneumonia. Which of the following is the most appropriate next step in management?