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Bronchiectasis with Pseudomonas — RACP Written MCQ

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HardRespiratoryBronchiectasis with PseudomonasRACP Written

A 44-year-old woman has chronic productive cough and three infective exacerbations per year. CT shows cylindrical bronchiectasis in the lower lobes. Sputum culture repeatedly grows Pseudomonas aeruginosa. What is the most appropriate management?

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

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Correct answer: DLong-term inhaled or macrolide-based strategy after specialist assessment

Frequent bronchiectasis exacerbations with chronic Pseudomonas infection should prompt specialist-directed long-term suppressive therapy and airway clearance planning.

Reference: Australian Asthma Handbook; TSANZ guidance; Therapeutic Guidelines: Respiratory