A 71-year-old woman with stable COPD on LABA/LAMA asks about pneumonia risk with ICS. Eosinophils 80/µL; no frequent exacerbations. Recommendation?...

Question

A 71-year-old woman with stable COPD on LABA/LAMA asks about pneumonia risk with ICS. Eosinophils 80/µL; no frequent exacerbations. Recommendation?

Accepted Answer

Avoid ICS addition given low eos and low exacerbation risk

Answer

Add ICS for all COPD patients

Answer

Stop LABA/LAMA and use ICS alone

Answer

Add roflumilast now

Answer

Switch to theophylline

us-abfm MCQ (SBA): COPD (ICS risk/benefit)