MRCP UK EXAMINATIONS

RESPIRATORY

CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Management of patients with moderate COPD exacerbations
A
Consider hospitalization
B
Using a combination of SABA and SAMA . bronchodilators
C
Use of LAMA/LABA in combination with antibiotics and/or corticosteroids
D
Give mechanical ventilation, maintain SpO2 >88%
Explanation: 

Detailed explanation-1: -Oral steroids For people who experience periods when their COPD becomes more severe, called moderate or severe acute exacerbation, short courses (for example, five days) of oral corticosteroids may prevent further worsening of COPD .

Detailed explanation-2: -A SAMA and a LAMA should not be used concurrently.

Detailed explanation-3: -For patients on a long-acting muscarinic antagonist (LAMA), a short-acting beta-agonist (SABA) is generally used for quick relief of COPD symptoms. For patients not on a LAMA, a SABA or a combination SABA plus a short-acting muscarinic antagonist (SAMA) should be prescribed for rescue use.

Detailed explanation-4: -Your doctor may prescribe a short-acting bronchodilator if your COPD is mild and you only have symptoms every once in a while. Examples of short-acting bronchodilators are albuterol (ProAir HFA, Ventolin HFA, and other brand names), levalbuterol (Xopenex) and ipratropium (Atrovent HFA).

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