Question

A 70-year-old with COPD (FEV₁ 45% predicted) has ≥2 moderate exacerbations in the past year and blood eosinophils 380/µL despite dual LABA/LAMA. What is the next step?

Accepted Answer

Add inhaled corticosteroid to escalate to triple therapy

Answer

Continue LABA/LAMA only

Answer

Start long-term azithromycin for all

Answer

Switch to SABA monotherapy

Answer

Begin theophylline

Practice question

A 70-year-old with COPD (FEV₁ 45% predicted) has ≥2 moderate exacerbations in the past year and blood eosinophils 380/µL despite dual LABA/LAMA. What is the next step?