Question

A 72-year-old ex-smoker with COPD presents with increased dyspnea, sputum volume, and sputum purulence. Vitals stable; no pneumonia on CXR. Which systemic steroid regimen is preferred?

Accepted Answer

Prednisone 40 mg daily for 5 days

Answer

Prednisone 20 mg daily for 14 days

Answer

Methylprednisolone 60 mg IV q6h for 10 days

Answer

Dexamethasone 8 mg once

Answer

No steroids unless requiring hospitalization

Practice question

A 72-year-old ex-smoker with COPD presents with increased dyspnea, sputum volume, and sputum purulence. Vitals stable; no pneumonia on CXR. Which systemic steroid regimen is preferred?