Question

A 70‑year‑old with COPD, frequent exacerbations, and blood eosinophils 380/µL on dual bronchodilator therapy (LABA/LAMA) continues to exacerbate. What is the next best step?

Accepted Answer

Add inhaled corticosteroid to LABA/LAMA (triple therapy)

Answer

Add roflumilast immediately

Answer

Stop LAMA and add ICS/LABA only

Answer

Start chronic oral prednisone 10 mg/day

Answer

Macrolide monotherapy as controller

Practice question

A 70‑year‑old with COPD, frequent exacerbations, and blood eosinophils 380/µL on dual bronchodilator therapy (LABA/LAMA) continues to exacerbate. What is the next best step?