A 71-year-old with COPD exacerbations and blood eosinophils 400/µL despite LABA/LAMA asks about ICS addition. Best approach?...

Question

A 71-year-old with COPD exacerbations and blood eosinophils 400/µL despite LABA/LAMA asks about ICS addition. Best approach?

Accepted Answer

Add ICS to LABA/LAMA given eosinophilia and exacerbation history

Answer

Avoid ICS in all COPD due to pneumonia risk

Answer

Use oral steroids chronically

Answer

Stop LABA/LAMA and use ICS alone

Answer

No therapy change regardless of exacerbations

us-abim MCQ (SBA): COPD Exacerbation Prevention