A 66-year-old ex-smoker with GOLD stage 2 COPD has had two exacerbations in the last year despite regular tiotropium (LAMA). According to NICE guideli...

Question

A 66-year-old ex-smoker with GOLD stage 2 COPD has had two exacerbations in the last year despite regular tiotropium (LAMA). According to NICE guideline NG115, what is the next inhaled therapy step?

Accepted Answer

Add a long-acting β2-agonist (LABA) in combination with an inhaled corticosteroid (ICS)

Answer

Switch to short-acting β2-agonist monotherapy

Answer

Add a phosphodiesterase-4 inhibitor

Answer

Start oral theophylline

Answer

Refer immediately for lung volume reduction surgery

ukmla MCQ (SBA): COPD

A 66-year-old ex-smoker with GOLD stage 2 COPD has had two exacerbations in the last year despite regular tiotropium (LAMA). According to NICE guideline NG115, what is the next inhaled therapy step?