Question

A 66-year-old with COPD exacerbation (no pneumonia) and no contraindications is being discharged. Which systemic steroid regimen aligns with current guidance?

Accepted Answer

Prednisone 40 mg daily for 5 days

Answer

Methylprednisolone 125 mg IV every 6 hours for 14 days

Answer

Dexamethasone 10 mg IM single dose only

Answer

No systemic steroids; inhaled budesonide alone

Answer

Prednisone taper over 21 days starting at 60 mg

Practice question

A 66-year-old with COPD exacerbation (no pneumonia) and no contraindications is being discharged. Which systemic steroid regimen aligns with current guidance?