A 68-year-old man with severe COPD has frequent exacerbations and uses inhaled fluticasone/salmeterol only. Blood eosinophils are 90/µL. Best inhaler ...

Question

A 68-year-old man with severe COPD has frequent exacerbations and uses inhaled fluticasone/salmeterol only. Blood eosinophils are 90/µL. Best inhaler escalation?

Accepted Answer

Stop ICS and use LAMA/LABA

Answer

Add LAMA to create triple therapy

Answer

Continue ICS/LABA alone regardless of exacerbations

Answer

Add theophylline

Answer

Add chronic oral steroids

us-abfm MCQ (SBA): COPD (ICS De-escalation)

A 68-year-old man with severe COPD has frequent exacerbations and uses inhaled fluticasone/salmeterol only. Blood eosinophils are 90/µL. Best inhaler escalation?