Question

A 70-year-old with biapical emphysema has persistent dyspnea despite dual bronchodilators. Spirometry FEV₁ 42% predicted, exacerbations 2/year despite therapy. Eosinophils 380/µL. Next step?

Accepted Answer

Add inhaled corticosteroid to LABA/LAMA

Answer

Add chronic oral steroids

Answer

Start theophylline

Answer

Stop LAMA

Answer

Use antibiotics chronically

Practice question

A 70-year-old with biapical emphysema has persistent dyspnea despite dual bronchodilators. Spirometry FEV₁ 42% predicted, exacerbations 2/year despite therapy. Eosinophils 380/µL. Next step?