Question

A 72-year-old lifelong smoker presents with progressive breathlessness and a chronic productive cough. Spirometry shows an FEV1/FVC ratio of 0.6 post-bronchodilator. What is the most appropriate initial pharmacological therapy for his likely condition?

Accepted Answer

Inhaled short-acting beta-2 agonist as needed

Answer

Inhaled high-dose corticosteroid

Answer

Oral theophylline

Answer

Continuous oxygen therapy

Answer

Nebulized salbutamol at home

Practice question

A 72-year-old lifelong smoker presents with progressive breathlessness and a chronic productive cough. Spirometry shows an FEV1/FVC ratio of 0.6 post-bronchodilator. What is the most appropriate initial pharmacological therapy for his likely condition?