AOBIM Internal Medicine Practice Questions - AOBIM Internal Medicine Certifying Examination Exam

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A 55-year-old man with COPD on tiotropium has had two moderate exacerbations in the past year and worsening dyspnea. Eosinophil count is 350 cells/μL. What is the appropriate next step in GOLD-aligned therapy?

Add LABA only Add LABA + ICS (triple therapy: LAMA/LABA/ICS) Add roflumilast monotherapy Stop tiotropium and start short-acting bronchodilator only

Correct Answer:

Add LABA + ICS (triple therapy: LAMA/LABA/ICS)

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