A Patient with Severe, Chronic COPD Uses an Inhaled Long-Acting $\beta$

question 10

Multiple Choice

A patient with severe, chronic COPD uses an inhaled long-acting inhaled $\beta$ ₂ agonist (LABA) /glucocorticoid but continues to have frequent exacerbation of symptoms. What change in therapy will the provider discuss with the patient?

• A) Adding roflumilast
• B) Changing to oral theophylline
• C) Prescribing oral steroids
• D) Using an ipratropium/albuterol combination

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Definitions:

Eosinophil

A type of white blood cell involved in allergic reactions and fighting parasitic infections.

Monocyte

A type of white blood cell that plays a significant role in the immune system by differentiating into macrophages and dendritic cells.

Bilirubin

A yellow pigment that is a byproduct of the breakdown of red blood cells, and its levels are measured to assess liver function.

Erythropoiesis

The process through which new red blood cells are produced in the bone marrow.