COPD — SCE Respiratory MCQ

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ModerateCOPD StrategyCOPDSCE Respiratory

A 60-year-old with COPD and chronic bronchitis has two exacerbations/year despite LAMA/LABA/ICS; former smoker. Additional option?

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Correct answer: B — Long-term azithromycin

In former smokers with frequent exacerbations despite optimal inhaled therapy, long-term azithromycin can reduce exacerbations. Theophylline and chronic steroids are not recommended; LABA alone or stopping ICS is inappropriate.

Reference: GOLD Report (2025): COPD Strategy