A 68-year-old man with COPD (FEV1 40% predicted) presents with increasing dyspnoea and sputum purulence but no pneumonia on chest X-ray. He uses LABA/...

Question

A 68-year-old man with COPD (FEV1 40% predicted) presents with increasing dyspnoea and sputum purulence but no pneumonia on chest X-ray. He uses LABA/LAMA inhalers regularly and has had two exacerbations in the past year. According to COPD-X guidelines, which additional therapy is MOST appropriate to reduce future exacerbations?

Accepted Answer

Add low-dose inhaled corticosteroid to form triple therapy

Answer

Add regular oral prednisolone 10 mg daily

Answer

Start prophylactic azithromycin immediately

Answer

Switch from LABA/LAMA to SABA alone

Answer

No change in therapy is indicated

au-racp MCQ (SBA): Chronic obstructive pulmonary disease