A 58-year-old man with COPD recovering from an exacerbation asks about inhaled corticosteroid (ICS) addition. He had 2 exacerbations last year and blo...

Question

A 58-year-old man with COPD recovering from an exacerbation asks about inhaled corticosteroid (ICS) addition. He had 2 exacerbations last year and blood eosinophils 380/µL. On LABA/LAMA. What is recommended?

Accepted Answer

Add ICS to create triple therapy

Answer

Stop LAMA and add ICS only

Answer

Continue LABA/LAMA without ICS

Answer

Start chronic oral prednisone 5 mg daily

Answer

Switch to short-acting bronchodilators as needed

us-abim MCQ (SBA): COPD Exacerbation Prevention

A 58-year-old man with COPD recovering from an exacerbation asks about inhaled corticosteroid (ICS) addition. He had 2 exacerbations last year and blood eosinophils 380/µL. On LABA/LAMA. What is recommended?