A 68‑year‑old man with severe COPD exacerbation asks whether inhaled steroid alone will help prevent exacerbations. Eosinophils 90/µL. Best advice?...

Question

A 68‑year‑old man with severe COPD exacerbation asks whether inhaled steroid alone will help prevent exacerbations. Eosinophils 90/µL. Best advice?

Accepted Answer

ICS alone is not recommended; focus on dual bronchodilators

Answer

ICS alone reduces exacerbations in COPD regardless of eosinophils

Answer

Stop all maintenance therapy

Answer

Start chronic oral prednisone 5 mg daily

Answer

Use SABA only

us-abfm MCQ (SBA): COPD (ICS Monotherapy Not Recommended)