A 70-year-old man with COPD returns after his second outpatient exacerbation this year. He uses a long-acting muscarinic antagonist. Blood eosinophil

Question

A 70-year-old man with COPD returns after his second outpatient exacerbation this year. He uses a long-acting muscarinic antagonist. Blood eosinophil count is 330/mcL. He quit smoking and completed pulmonary rehabilitation. Which of the following would you recommend at the follow-up visit?

Accepted Answer

Escalate inhaled therapy to include inhaled corticosteroid-containing regimen

Answer

Stop bronchodilator therapy

Answer

Schedule prophylactic lobectomy

Answer

Begin long-term morphine for mild dyspnea

Answer

Start chronic oral prednisone

COPD exacerbation prevention — USMLE Step 3 MCQ

A 70-year-old man with COPD returns after his second outpatient exacerbation this year. He uses a long-acting muscarinic antagonist. Blood eosinophil count is 330/mcL. He quit smoking and completed pulmonary rehabilitation. Which of the following would you recommend at the follow-up visit?