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COPD — SCE Respiratory MCQ

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HardExercise PrescriptionCOPDSCE Respiratory

A COPD patient completes optimized inhaled treatment but remains limited after two admissions. Which rehabilitation prescription is evidence-based?

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

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Correct answer: BPulmonary rehabilitation combining endurance, resistance, education and self-management

Explanation lettering: B = shown as A · E = shown as B · A = shown as C · C = shown as E

E is correct. Pulmonary rehabilitation combines individualized aerobic and strength training with education, behaviour change and self-management; it improves exercise capacity, symptoms and post-admission outcomes. Breath-holding is not rehabilitation. Chronic prednisolone causes systemic harm, altitude adds hypoxaemic stress, and prolonged inactivity accelerates deconditioning. Programme timing is individualized, including prompt referral after hospitalization once clinically stable.

Reference: NICE NG115 COPD recommendations: https://www.nice.org.uk/guidance/ng115/chapter/Recommendations