A 65-year-old with an acute COPD exacerbation (no respiratory failure) is treated in the ED and can take oral medications. Which systemic steroid regi...

Question

A 65-year-old with an acute COPD exacerbation (no respiratory failure) is treated in the ED and can take oral medications. Which systemic steroid regimen is recommended?

Accepted Answer

Prednisone 40 mg orally once daily for 5 days.

Answer

Prednisone 60 mg daily with a slow taper over 21 days.

Answer

IV methylprednisolone 125 mg every 6 hours for 7 days.

Answer

Chronic prednisone 10 mg daily to prevent future exacerbations.

Answer

Avoid systemic steroids; use bronchodilators only.

us-abfm MCQ (SBA): COPD Exacerbation

A 65-year-old with an acute COPD exacerbation (no respiratory failure) is treated in the ED and can take oral medications. Which systemic steroid regimen is recommended?