A 45-year-old with severe COPD exacerbation requiring ED care. Which systemic steroid regimen is guideline-concordant?...

Question

A 45-year-old with severe COPD exacerbation requiring ED care. Which systemic steroid regimen is guideline-concordant?

Accepted Answer

Prednisone 40 mg PO daily for 5 days

Answer

Methylprednisolone 125 mg IV every 6 hours for 10 days

Answer

Prednisone taper for 21 days

Answer

Dexamethasone 6 mg daily for 10 days

Answer

No steroids unless eosinophils >300/µL

us-abfm MCQ (SBA): COPD Exacerbation