The MKSAP Challenge
A 64-year-old man with severe chronic obstructive pulmonary disease (COPD) with mild hypercapnia and persistent dyspnea on minimal exertion is evaluated in the office.
He is on maximal bronchodilator therapy and oral theophylline. He was admitted two months ago to the intensive care unit for an exacerbation of COPD and was placed on noninvasive ventilation by bilevel positive airway pressure. He subsequently improved and was discharged home.
Which of the following outcomes is likely if this patient uses bilevel positive airway pressure at home?
A. Decreased frequency of COPD exacerbations
B. Decreased likelihood of death caused by COPD
C. Improvement in symptoms and quality of life
D. Improvement in hypercapnia
E. No benefit
Internist Archives Quick Links
Not an ACP Member?
Join today and discover the benefits waiting for you.
ACP offers different categories of membership depending on your career stage and professional status. View options, pricing and benefits.
A New Way to Ace the Boards!
Ensure you're board-exam ready with ACP's Board Prep Ace - a multifaceted, self-study program that prepares you to pass the ABIM Certification Exam in internal medicine. Learn more.