487) 57-year-old male with a history of mild COPD has been using albuterol as needed to manage his COPD without any other maintenance medications. Recently he has been experiencing a greater degree of shortness of breath, wheezing and a productive cough. Pulmonary function tests demonstrate a FEV1 that is 60% of predicted. What is the next best step for management of his COPD?
A. Add budesonide to treatment regimen
B. Add rofilumast to treatment regimen
C. Add tiotropium to treatment regimen
D. Add tiotropium plus fluticasone to treatment regimen
E. Add carbocystine to treatment regimen
Filed under: USMLE STEP III QUESTION BANK, USMLE Test Prep | Tagged: Archer pulmonology, archer usmle step 3, COPD MANAGEMENT, GOLD COPD GUIDELINES, usmle step 3, USMLE STEP 3 PULMONOLOGY | 6 Comments »
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