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MCQ 5: COPD Exacerbation Management%u2022A patient with COPD exacerbation is receiving high-flow oxygen but continues to desaturate and develops a silent chest. What is the next most appropriate step in management?%u2022 Increase oxygen flow rate%u2022Administer more bronchodilators%u2022 Start CPAP%u2022 Prepare for intubation%u2022Administer systemic corticosteroidsQuestion:%u2022 Prepare for intubationAnswer:%u2022A silent chest in a COPD patient with worsening hypoxia despite high-flow oxygen is an ominous sign indicating severe airflow limitation and impending respiratory failure. This scenario suggests that the patient is tiring and may require mechanical ventilation. While non-invasive ventilation (like CPAP) might be considered, given the severity of the presentation, preparation for intubation is the most appropriate next step.Explanation:
