MRCP UK EXAMINATIONS

RESPIRATORY

CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Management of patients with COPD exacerbations requiring hospitalization, EXCEPT
A
SAMA + SABA
B
Mask Venturi Target SpO2 88-92%
C
Prophylactic antibiotics
D
Prednisone 40mg for 5 days
Explanation: 

Detailed explanation-1: -Emergency Department Care in COPD In addition to oxygen, proper ED care may comprise bronchodilators, antibiotics, magnesium, CPAP or biphasic positive airway pressure (BiPAP), Heliox (ie, mixture of helium and oxygen), and definitive airway management via intubation.

Detailed explanation-2: -Antibiotics are often used in acute exacerbations of COPD (AECOPD) as bacteria are commonly implicated in these patients; however, exacerbations may be caused by viruses and other environmental factors. This document will provide the clinician with guidance to assist with diagnosis and management of AECOPD.

Detailed explanation-3: -Two antibiotics-azithromycin and erythromycin-were most effective in the prevention of exacerbations.

Detailed explanation-4: -Azithromycin 250 mg daily or. Azithromycin 250 mg 3 times a week.

There is 1 question to complete.