ABIM Pulmonary Practice Questions - American Board Of Internal Medicine Pulmonary Disease Subspecialty Certification Exam

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A 64-year-old with severe COPD (FEV1 28% predicted) and frequent exacerbations has had three hospitalizations for COPD exacerbations this year despite optimized triple inhaler therapy. He has stopped smoking. What additional therapy is most likely to reduce his exacerbation frequency?

Chronic systemic prednisone 20 mg daily Chronic azithromycin 250 mg daily or 500 mg three times weekly Daily nebulized albuterol Immediate lobectomy

Correct Answer:

Chronic azithromycin 250 mg daily or 500 mg three times weekly

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