Question

A 70-year-old man with chronic obstructive pulmonary disease (COPD) has frequent exacerbations (≥2/year) and persistent breathlessness despite a LABA. Eosinophils 0.35 ×10⁹/L. Best next step?

Accepted Answer

Add inhaled corticosteroid to LABA (LABA/ICS)

Answer

Switch to LAMA monotherapy

Answer

Start theophylline

Answer

Long-term macrolide prophylaxis immediately

Answer

Home oxygen without assessment

Practice question

A 70-year-old man with chronic obstructive pulmonary disease (COPD) has frequent exacerbations (≥2/year) and persistent breathlessness despite a LABA. Eosinophils 0.35 ×10⁹/L. Best next step?