A 67-year-old former smoker has COPD with exertional dyspnea despite a long-acting muscarinic antagonist. He has had no exacerbations in the past

Question

A 67-year-old former smoker has COPD with exertional dyspnea despite a long-acting muscarinic antagonist. He has had no exacerbations in the past year. Oxygen saturation is 94% at rest. Spirometry shows persistent obstruction. Which of the following would you recommend at the follow-up visit?

Accepted Answer

Add a long-acting beta agonist

Answer

Prescribe home oxygen therapy

Answer

Start chronic oral prednisone

Answer

Schedule lung volume reduction surgery

Answer

Begin daily azithromycin indefinitely

Chronic obstructive pulmonary disease — USMLE Step 3 MCQ

A 67-year-old former smoker has COPD with exertional dyspnea despite a long-acting muscarinic antagonist. He has had no exacerbations in the past year. Oxygen saturation is 94% at rest. Spirometry shows persistent obstruction. Which of the following would you recommend at the follow-up visit?