A 68-year-old former smoker with GOLD stage II COPD has dyspnoea on exertion (mMRC 2) and two exacerbations requiring oral steroids in the last year d...

Question

A 68-year-old former smoker with GOLD stage II COPD has dyspnoea on exertion (mMRC 2) and two exacerbations requiring oral steroids in the last year despite a long-acting muscarinic antagonist. According to CTS COPD guidelines, which adjustment is most appropriate?

Accepted Answer

Escalate to dual long-acting bronchodilator (LAMA/LABA) therapy

Answer

Add a short-acting beta-agonist as sole maintenance

Answer

Switch to inhaled corticosteroid monotherapy

Answer

Stop LAMA and start theophylline

Answer

Start chronic oral prednisone 5 mg daily

ca-mccqe1 MCQ (SBA): Chronic obstructive pulmonary disease

A 68-year-old former smoker with GOLD stage II COPD has dyspnoea on exertion (mMRC 2) and two exacerbations requiring oral steroids in the last year despite a long-acting muscarinic antagonist. According to CTS COPD guidelines, which adjustment is most appropriate?