A 72-year-old man with GOLD stage III COPD on LAMA monotherapy has had two moderate exacerbations in the past year requiring oral steroids and one hos...

Question

A 72-year-old man with GOLD stage III COPD on LAMA monotherapy has had two moderate exacerbations in the past year requiring oral steroids and one hospitalization. He continues to have dyspnea on exertion. According to GOLD recommendations, which change in inhaled therapy is most appropriate?

Accepted Answer

Escalate to LAMA/LABA combination therapy.

Answer

Continue LAMA monotherapy without change.

Answer

Switch to short-acting beta-agonist monotherapy.

Answer

Add inhaled corticosteroid monotherapy.

Answer

Stop all bronchodilators and start chronic oral steroids.

us-abfm MCQ (SBA): Stable COPD Management

A 72-year-old man with GOLD stage III COPD on LAMA monotherapy has had two moderate exacerbations in the past year requiring oral steroids and one hospitalization. He continues to have dyspnea on exertion. According to GOLD recommendations, which change in inhaled therapy is most appropriate?