Question

A 70-year-old with COPD, dyspnea, and two exacerbations last year has eosinophils 120 cells/µL, on LAMA. What is the next best pharmacologic step?

Accepted Answer

Escalate to LAMA/LABA dual bronchodilator therapy

Answer

Add inhaled corticosteroid alone

Answer

Start oral roflumilast as first-line

Answer

Use chronic azithromycin immediately

Answer

Switch to short-acting bronchodilator only

Practice question

A 70-year-old with COPD, dyspnea, and two exacerbations last year has eosinophils 120 cells/µL, on LAMA. What is the next best pharmacologic step?