skip to main content

Bronchiectasis with chronic Pseudomonas infection — RCPSC IM MCQ

Instant feedback + full explanation. One question, done properly.

HardRespirologyBronchiectasis with chronic Pseudomonas infectionRCPSC IM

A 62-year-old woman has daily sputum, recurrent exacerbations, and HRCT-confirmed bronchiectasis. Sputum culture repeatedly grows Pseudomonas aeruginosa. Immunoglobulins are normal and she has no cystic fibrosis. She has had three exacerbations requiring antibiotics in 12 months. What is the most appropriate next step?

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

Reveal the answer and explanation

Correct answer: E — Specialist bronchiectasis plan with airway clearance and Pseudomonas-directed therapy

Frequent bronchiectasis exacerbations with chronic Pseudomonas infection require specialist-directed management, airway clearance, sputum-guided antibiotics, and consideration of long-term suppressive strategies.

Reference: Canadian Thoracic Society bronchiectasis guidance