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EasyRespiratoryChronic obstructive pulmonary diseaseau-amc

A 45-year-old man with a 30 pack-year smoking history presents with chronic cough and progressive dyspnoea on exertion. Spirometry shows FEV₁/FVC ratio of 0.58 post-bronchodilator and FEV₁ 60% predicted. What is the MOST likely diagnosis?

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