Question

A 66-year-old with COPD exacerbation without pneumonia or ICU need has increased sputum purulence and volume. Eosinophils are low. Which steroid strategy is recommended?

Accepted Answer

Systemic corticosteroids (e.g., prednisone 40 mg daily for 5 days)

Answer

No steroids

Answer

Prolonged 14-day course

Answer

Inhaled steroids only

Answer

High-dose IV steroids for all

Practice question

A 66-year-old with COPD exacerbation without pneumonia or ICU need has increased sputum purulence and volume. Eosinophils are low. Which steroid strategy is recommended?