A 64-year-old with COPD exacerbation (no respiratory failure) is treated as an outpatient. Which systemic steroid regimen is guideline-concordant?...

Question

A 64-year-old with COPD exacerbation (no respiratory failure) is treated as an outpatient. Which systemic steroid regimen is guideline-concordant?

Accepted Answer

Prednisone 40 mg daily for 5 days

Answer

Methylprednisolone 125 mg IV every 6 hours for 10 days

Answer

Prednisone taper over 21 days starting at 60 mg

Answer

Dexamethasone 10 mg IV once only

Answer

No corticosteroid therapy is indicated

us-abfm MCQ (SBA): COPD exacerbation