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Pulmonary rehabilitation — SCE Respiratory MCQ

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HardCOPDPulmonary rehabilitationSCE Respiratory

A 68-year-old man with COPD is reviewed after discharge. He remains breathless, has an MRC dyspnoea score of 4, SpO2 94% on air, and no recent exacerbations before this admission. He has not attended pulmonary rehabilitation. What is the most appropriate management?

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Correct answer: B — Refer for pulmonary rehabilitation

Pulmonary rehabilitation improves exercise capacity and quality of life in symptomatic COPD and is appropriate after an exacerbation once clinically stable. Home oxygen is not indicated with resting SpO2 94% without qualifying ABG hypoxaemia. Roflumilast, valves and maintenance oral steroids are specialist or unsuitable options at this stage.

Reference: NICE NG115; BTS Pulmonary Rehabilitation Guideline