A 74-year-old woman with stable COPD (FEV1 62% predicted) and one exacerbation last year uses LABA/LAMA. Blood eosinophils are 380/μL. She continues t...

Question

A 74-year-old woman with stable COPD (FEV1 62% predicted) and one exacerbation last year uses LABA/LAMA. Blood eosinophils are 380/μL. She continues to exacerbate. What escalation is appropriate?

Accepted Answer

Add inhaled corticosteroid to create triple therapy

Answer

Switch to ICS monotherapy

Answer

Add theophylline

Answer

Start chronic systemic steroids

Answer

Discontinue bronchodilators

us-abfm MCQ (SBA): COPD-Eosinophil-Guided ICS Use

A 74-year-old woman with stable COPD (FEV1 62% predicted) and one exacerbation last year uses LABA/LAMA. Blood eosinophils are 380/μL. She continues to exacerbate. What escalation is appropriate?