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COPD inhaler choice — GPhC CRA MCQ

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EasyRespiratory TherapeuticsCOPD inhaler choiceGPhC CRA

A 68-year-old with COPD remains breathless despite using a short-acting bronchodilator several times daily. He has no asthma features documented and asks what long-term inhaler may be added. What is the most appropriate alternative?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: B — A long-acting bronchodilator inhaler

Persistent COPD symptoms are usually managed with a long-acting bronchodilator, selected according to symptoms and exacerbation history. Routine long-term oral corticosteroids or nebulised antibiotics are not standard first escalation in this scenario. Oral salbutamol is generally less suitable than inhaled bronchodilator therapy.

Reference: NICE CKS; BNF