Question

A 70-year-old with COPD exacerbation (no pneumonia) has FEV₁ 40% predicted, wheeze, and increased sputum. SpO₂ 92% on room air. What systemic steroid regimen is recommended?

Accepted Answer

Prednisone 40 mg daily for 5 days

Answer

Prednisone 20 mg daily for 14 days

Answer

IV methylprednisolone 125 mg once then taper over 2 weeks

Answer

Inhaled budesonide only

Answer

No steroids; antibiotics alone

Practice question

A 70-year-old with COPD exacerbation (no pneumonia) has FEV₁ 40% predicted, wheeze, and increased sputum. SpO₂ 92% on room air. What systemic steroid regimen is recommended?