A 63-year-old with COPD (FEV1 48% predicted) on LABA/LAMA has 2 moderate exacerbations in the past year; blood eosinophils are 360/µL. Best escalation...

Question

A 63-year-old with COPD (FEV1 48% predicted) on LABA/LAMA has 2 moderate exacerbations in the past year; blood eosinophils are 360/µL. Best escalation?

Accepted Answer

Add an inhaled corticosteroid to LABA/LAMA (triple therapy)

Answer

Continue LABA/LAMA without change

Answer

Switch to ICS monotherapy

Answer

Start theophylline

Answer

Add roflumilast regardless of eosinophils

us-abim MCQ (SBA): COPD Controller Escalation

A 63-year-old with COPD (FEV1 48% predicted) on LABA/LAMA has 2 moderate exacerbations in the past year; blood eosinophils are 360/µL. Best escalation?