Question

A 70-year-old man with a long history of smoking presents with exertional dyspnoea. Spirometry confirms COPD with FEV₁ 55% predicted. He has had two exacerbations requiring prednisone in the past year. According to CTS COPD guidelines, which non-pharmacologic intervention has the greatest proven benefit in improving symptoms and quality of life?

Accepted Answer

Pulmonary rehabilitation programme participation.

Answer

Long-term oxygen therapy for all patients with COPD regardless of oxygen saturation.

Answer

Routine use of inhaled corticosteroids in all COPD patients.

Answer

High-dose oral corticosteroids daily.

Answer

Vitamin D supplementation.

Practice question