Question

A 70-year-old man with COPD and a FEV₁ of 40% predicted presents with increasing dyspnoea despite using a short-acting bronchodilator. He is only on a SABA rescue inhaler. According to current guidelines, what should be the next step in his maintenance therapy?

Accepted Answer

Add a long-acting muscarinic antagonist (LAMA)

Answer

Start a high-dose inhaled corticosteroid alone

Answer

Begin long-term oxygen therapy

Answer

Add regular oral corticosteroids

Answer

Prescribe intravenous antibiotics prophylactically

Practice question

A 70-year-old man with COPD and a FEV₁ of 40% predicted presents with increasing dyspnoea despite using a short-acting bronchodilator. He is only on a SABA rescue inhaler. According to current guidelines, what should be the next step in his maintenance therapy?