Respiratory SCE Practice Questions - Respiratory Medicine Specialty Certificate Examination Exam

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A 68-year-old with bronchiectasis has chronic Pseudomonas aeruginosa isolation and three infective exacerbations in the last year. Which management principle is most appropriate?

Optimise airway clearance and consider specialist long-term anti-pseudomonal therapy Ignore Pseudomonas unless blood cultures are positive Treat every positive sputum culture with a 3-day antibiotic course Stop physiotherapy because it spreads infection within the lungs

Correct Answer:

Optimise airway clearance and consider specialist long-term anti-pseudomonal therapy

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