IPF transplant referral — SCE Respiratory MCQ
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Correct answer: B — Discuss early referral to a lung transplant centre alongside antifibrotic therapy
IPF with marked gas transfer impairment and exertional desaturation warrants early transplant discussion if there are no absolute contraindications, while antifibrotic therapy is considered according to eligibility. Waiting until very advanced decline may miss the transplant window. Prednisolone/azathioprine, sildenafil and age-based exclusion as stated are not appropriate disease-modifying strategies.
Reference: https://www.brit-thoracic.org.uk/quality-improvement/guidelines/