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MediumRespiratoryChronic obstructive pulmonary diseaseca-mccqe1ca-ccfpca-rcpsc-im

A 67-year-old former smoker (40 pack-years) presents with chronic cough, dyspnoea on exertion, and frequent winter bronchitis. Spirometry shows FEV₁/FVC 0.58 post-bronchodilator and FEV₁ 55% predicted. What is the most appropriate interpretation?

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