A 74-year-old with COPD has 2 exacerbations in the past year and blood eosinophils 380/µL. On LABA/LAMA. Next inhaled escalation?...

Question

A 74-year-old with COPD has 2 exacerbations in the past year and blood eosinophils 380/µL. On LABA/LAMA. Next inhaled escalation?

Accepted Answer

Add inhaled corticosteroid to escalate to triple therapy

Answer

Stop LABA and add SABA only

Answer

Add roflumilast instead of any ICS

Answer

Start chronic oral prednisone

Answer

No change because eosinophils are low

us-abfm MCQ (SBA): COPD Exacerbation Prevention