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Smear-positive pulmonary tuberculosis — SCE Respiratory MCQ

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HardTB and NTMSmear-positive pulmonary tuberculosisSCE Respiratory

A pulmonary-rehabilitation service is assessing a patient with COPD before prescribing individualised aerobic training intensity. Which assessment meets the BTS clinical statement?

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Correct answer: C — Directly supervised field-walking test or laboratory cardiopulmonary exercise test

BTS states that safety for exercise training and exercise capacity for prescription should be assessed in person using a validated field-walking test, such as the incremental shuttle walk or six-minute walk test, or laboratory cardiopulmonary exercise testing. Simple functional tests and questionnaires may add information but do not replace a validated exercise test for prescribing aerobic or strength training.

Reference: BTS Clinical Statement on pulmonary rehabilitation (Published September 2023): https://www.brit-thoracic.org.uk/quality-improvement/clinical-statements/pulmonary-rehabilitation/; NICE NG115 full COPD guideline (Updated 26 July 2019): https://www.nice.org.uk/guidance/ng115/resources/chronic-obstructive-pulmonary-disease-in-over-16s-diagnosis-and-management-pdf-66141600098245