A 60-year-old man with moderate COPD (FEV1 60% predicted) is using a SABA and a LABA/LAMA combination inhaler. He has had 3 moderate exacerbations in ...

Question

A 60-year-old man with moderate COPD (FEV1 60% predicted) is using a SABA and a LABA/LAMA combination inhaler. He has had 3 moderate exacerbations in the past year. His blood eosinophil count is 0.35 x 10^9/L. What is the most appropriate next step in his inhaled therapy?

Accepted Answer

Add an Inhaled Corticosteroid (ICS) (Triple therapy)

Answer

Switch to a different LABA/LAMA combination

Answer

Add oral Theophylline

Answer

Start long-term oral corticosteroids

Answer

Start Roflumilast

ukmla MCQ (SBA): COPD (Chronic Management)

A 60-year-old man with moderate COPD (FEV1 60% predicted) is using a SABA and a LABA/LAMA combination inhaler. He has had 3 moderate exacerbations in the past year. His blood eosinophil count is 0.35 x 10^9/L. What is the most appropriate next step in his inhaled therapy?