Acute Exacerbation of Chronic Obstructive Pulmonary Disease (COPD)
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Questions and Answers

What is an acute exacerbation of chronic obstructive pulmonary disease (COPD)?

  • A permanent worsening of symptoms from the patient's usual stable state
  • A sustained worsening of symptoms from the patient's usual stable state (correct)
  • A sudden improvement of symptoms from the patient's usual stable state
  • The usual day-to-day variation of symptoms

What triggers acute exacerbations of COPD?

  • Bacterial infections, viral infections, and other factors such as smoking (correct)
  • Only cardiorespiratory failure
  • Only viral infections
  • Only bacterial infections

When considering antibacterial treatment for acute exacerbations of COPD, what factors should be taken into account?

  • Only the severity of symptoms
  • Only the patient's age and weight
  • The severity of symptoms, sputum colour changes, and the need for hospital admission (correct)
  • Only the patient's history of hospital admission

What should be considered during reassessment of acute exacerbations of COPD?

<p>Other diagnoses such as pneumonia, and previous antibacterial use (A)</p> Signup and view all the answers

When should patients with acute exacerbations of COPD be referred to hospital?

<p>If they have signs or symptoms suggestive of a more serious illness (D)</p> Signup and view all the answers

Why should patients with acute exacerbations of COPD be reassessed if their symptoms worsen rapidly or significantly?

<p>To consider other diagnoses or signs of a more serious illness (B)</p> Signup and view all the answers

What is the recommended duration of antibacterial therapy for this condition?

<p>5 days (A)</p> Signup and view all the answers

When should the choice of antibacterial therapy be reviewed?

<p>If symptoms are not improving and susceptibility results indicate bacterial resistance (D)</p> Signup and view all the answers

What is the oral first-line antibacterial therapy for this condition?

<p>Amoxicillin, clarithromycin, or doxycycline (D)</p> Signup and view all the answers

When should a local microbiologist be consulted?

<p>If symptoms are not improving with repeated courses of antibacterials (C)</p> Signup and view all the answers

What is the alternative oral antibacterial therapy for patients at high risk of treatment failure?

<p>Co-amoxiclav, or levofloxacin (B)</p> Signup and view all the answers

When is intravenous antibacterial therapy recommended?

<p>If the patient is severely unwell or unable to take oral treatment (C)</p> Signup and view all the answers

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