A 72-year-old with COPD (2 exacerbations last year) on LAMA has persistent dyspnea and daily rescue use. Eosinophils 80/µL, CAT 22. Best next step?...

Question

A 72-year-old with COPD (2 exacerbations last year) on LAMA has persistent dyspnea and daily rescue use. Eosinophils 80/µL, CAT 22. Best next step?

Accepted Answer

Switch to LAMA/LABA dual bronchodilator

Answer

Add ICS to LAMA

Answer

Add theophylline

Answer

Start roflumilast first

Answer

Start chronic azithromycin regardless of risk

us-abfm MCQ (SBA): COPD Pharmacotherapy