Question

A 55-year-old woman with new dyspnea has spirometry showing FEV1/FVC 0.62 and FEV1 58% predicted, frequent exacerbations despite LAMA. She is a former smoker. According to widely used guidance, what is the next pharmacologic step?

Accepted Answer

Escalate to LABA/LAMA/ICS triple therapy

Answer

Switch to SABA alone

Answer

Start roflumilast monotherapy

Answer

Start chronic macrolide in all patients

Answer

Stop LAMA and use ICS alone

Practice question

A 55-year-old woman with new dyspnea has spirometry showing FEV1/FVC 0.62 and FEV1 58% predicted, frequent exacerbations despite LAMA. She is a former smoker. According to widely used guidance, what is the next pharmacologic step?