A 71-year-old with COPD (FEV1 45% predicted) has 2 exacerbations in the last year and eosinophils 0.35×10⁹/L. On LAMA. Best next step?...

Question

A 71-year-old with COPD (FEV1 45% predicted) has 2 exacerbations in the last year and eosinophils 0.35×10⁹/L. On LAMA. Best next step?

Accepted Answer

Add ICS/LABA to LAMA (triple therapy)

Answer

Switch to LABA alone

Answer

Start theophylline

Answer

Macrolide continuous prophylaxis immediately

Answer

Stop LAMA and start ICS alone

ukmla MCQ (SBA): COPD Exacerbation Prevention