A 64-year-old with COPD on LABA/LAMA has 3 exacerbations this year; blood eosinophils 380 cells/µL; no pneumonia history. What escalation is recommend...

Question

A 64-year-old with COPD on LABA/LAMA has 3 exacerbations this year; blood eosinophils 380 cells/µL; no pneumonia history. What escalation is recommended?

Accepted Answer

Add inhaled corticosteroid to form triple therapy (ICS/LABA/LAMA)

Answer

Continue LABA/LAMA only

Answer

Switch to LAMA monotherapy

Answer

Start chronic azithromycin and stop inhalers

Answer

Oral prednisone 5 mg daily long-term

us-abim MCQ (SBA): COPD Management

A 64-year-old with COPD on LABA/LAMA has 3 exacerbations this year; blood eosinophils 380 cells/µL; no pneumonia history. What escalation is recommended?