COPD — SCE Respiratory MCQ
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Correct answer: B — Pulmonary 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