Question

A 68-year-old man with severe COPD asks if inhaled steroids are appropriate. He has 3 exacerbations per year and eosinophils 350/µL. He is currently on LABA/LAMA. What is the best approach?

Accepted Answer

Escalate to LABA/LAMA/ICS triple therapy

Answer

Stop LAMA and use ICS monotherapy

Answer

Continue LABA/LAMA only

Answer

Add chronic oral prednisone 5 mg daily

Answer

Switch to SABA only

Practice question

A 68-year-old man with severe COPD asks if inhaled steroids are appropriate. He has 3 exacerbations per year and eosinophils 350/µL. He is currently on LABA/LAMA. What is the best approach?