Question

A 66-year-old man with COPD (FEV1 45% predicted, frequent exacerbations despite LAMA+LABA inhaler) presents for review. He has no features of asthma. According to NICE guidelines, what is the most appropriate next step to consider for reducing exacerbations?

Accepted Answer

Add inhaled corticosteroid (ICS) to LAMA+LABA

Answer

Add roflumilast

Answer

Add prophylactic azithromycin

Answer

Add theophylline

Answer

Refer for lung volume reduction surgery

Practice question

A 66-year-old man with COPD (FEV1 45% predicted, frequent exacerbations despite LAMA+LABA inhaler) presents for review. He has no features of asthma. According to NICE guidelines, what is the most appropriate next step to consider for reducing exacerbations?