A 66-year-old with COPD and two moderate exacerbations in the past year despite LAMA/LABA asks about adding ICS. He has blood eosinophils 320/µL. Best...

Question

A 66-year-old with COPD and two moderate exacerbations in the past year despite LAMA/LABA asks about adding ICS. He has blood eosinophils 320/µL. Best next step?

Accepted Answer

Add inhaled corticosteroid to LAMA/LABA

Answer

Continue dual bronchodilator without ICS

Answer

Add chronic oral prednisone

Answer

Start theophylline

Answer

Add azithromycin despite no smoking cessation

us-abfm MCQ (SBA): COPD Exacerbation Prevention

A 66-year-old with COPD and two moderate exacerbations in the past year despite LAMA/LABA asks about adding ICS. He has blood eosinophils 320/µL. Best next step?