A 62-year-old smoker presents with chronic productive cough and exertional dyspnoea. Spirometry shows FEV1/FVC ratio 0.60 post-bronchodilator and FEV1...

Question

A 62-year-old smoker presents with chronic productive cough and exertional dyspnoea. Spirometry shows FEV1/FVC ratio 0.60 post-bronchodilator and FEV1 80% predicted. According to COPD-X, what is the MOST appropriate initial pharmacological management?

Accepted Answer

Start SABA as needed plus either LABA or LAMA maintenance therapy

Answer

Short-acting beta2 agonist (SABA) as needed only

Answer

Start inhaled corticosteroid monotherapy

Answer

Start dual LABA/LAMA therapy and stop smoking counselling

Answer

Start long-term oral corticosteroids

au-racgp MCQ (SBA): Chronic obstructive pulmonary disease

A 62-year-old smoker presents with chronic productive cough and exertional dyspnoea. Spirometry shows FEV1/FVC ratio 0.60 post-bronchodilator and FEV1 80% predicted. According to COPD-X, what is the MOST appropriate initial pharmacological management?