A 66-year-old man with COPD uses a long-acting muscarinic antagonist. He has two moderate exacerbations in the past year. Blood eosinophils are

Question

A 66-year-old man with COPD uses a long-acting muscarinic antagonist. He has two moderate exacerbations in the past year. Blood eosinophils are 340/µL. He continues smoking. Which of the following would you recommend at the follow-up visit?

Accepted Answer

Add inhaled corticosteroid-containing therapy and intensify smoking cessation support

Answer

Use chronic oral prednisone

Answer

Use antibiotics every day indefinitely

Answer

Stop bronchodilator therapy

Answer

Begin long-term oxygen despite normal oxygen saturation

Chronic obstructive pulmonary disease — USMLE Step 3 MCQ

A 66-year-old man with COPD uses a long-acting muscarinic antagonist. He has two moderate exacerbations in the past year. Blood eosinophils are 340/µL. He continues smoking. Which of the following would you recommend at the follow-up visit?