A 69‑year‑old man with COPD and frequent exacerbations despite triple inhaler therapy asks if chronic oral steroids will help prevent flares. Best adv...

Question

A 69‑year‑old man with COPD and frequent exacerbations despite triple inhaler therapy asks if chronic oral steroids will help prevent flares. Best advice?

Accepted Answer

No; chronic systemic steroids are not recommended due to harms

Answer

Yes, chronic oral steroids reduce exacerbations safely

Answer

Switch to SABA only

Answer

Stop ICS and continue LABA only

Answer

Start theophylline

us-abfm MCQ (SBA): COPD (Chronic Steroids)

A 69‑year‑old man with COPD and frequent exacerbations despite triple inhaler therapy asks if chronic oral steroids will help prevent flares. Best advice?