A 68-year-old man with COPD (post-bronchodilator FEV1 45% predicted) has had two moderate exacerbations requiring oral steroids and one hospitalisatio...

Question

A 68-year-old man with COPD (post-bronchodilator FEV1 45% predicted) has had two moderate exacerbations requiring oral steroids and one hospitalisation in the last year despite dual long-acting bronchodilator therapy (LABA/LAMA). According to Canadian COPD guidance, which change in inhaled therapy is most appropriate?

Accepted Answer

Add inhaled corticosteroid to create triple therapy (ICS/LABA/LAMA)

Answer

Continue LABA/LAMA only

Answer

Stop LABA and use short-acting bronchodilators only

Answer

Add theophylline as first escalation

Answer

Switch to inhaled corticosteroid monotherapy

ca-mccqe1 MCQ (SBA): Chronic obstructive pulmonary disease