A 68-year-old ex-smoker presents with chronic productive cough and dyspnea. Spirometry shows FEV1/FVC of 0.6 and FEV1 50% predicted. According to NICE...

Question

A 68-year-old ex-smoker presents with chronic productive cough and dyspnea. Spirometry shows FEV1/FVC of 0.6 and FEV1 50% predicted. According to NICE guidelines, what is the most appropriate first-line maintenance therapy for this patient with COPD?

Accepted Answer

Long-acting beta-2 agonist (LABA) combined with a long-acting muscarinic antagonist (LAMA)

Answer

High-dose inhaled corticosteroid alone

Answer

Oral corticosteroids

Answer

Oral theophylline

Answer

Short-acting antimuscarinic inhaler only

ukmla MCQ (SBA): COPD

A 68-year-old ex-smoker presents with chronic productive cough and dyspnea. Spirometry shows FEV1/FVC of 0.6 and FEV1 50% predicted. According to NICE guidelines, what is the most appropriate first-line maintenance therapy for this patient with COPD?