A 68-year-old woman with a 40-year smoking history presents with chronic productive cough and exertional dyspnoea. Spirometry confirms FEV1/FVC 0.55 a...

Question

A 68-year-old woman with a 40-year smoking history presents with chronic productive cough and exertional dyspnoea. Spirometry confirms FEV1/FVC 0.55 and FEV1 55% predicted. She is not on inhaled therapy and has had two exacerbations in the last year treated with oral steroids. According to CTS guidelines, which maintenance pharmacologic therapy is most appropriate to start?

Accepted Answer

Long-acting muscarinic antagonist

Answer

Short-acting beta-agonist as needed only

Answer

Inhaled corticosteroid monotherapy

Answer

Oral theophylline

Answer

Systemic prednisone 5 mg daily

ca-mccqe1 MCQ (SBA): Chronic obstructive pulmonary disease