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COPD inhaler escalation — GPhC CRA MCQ

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ModerateRespiratory TherapeuticsCOPD inhaler escalationGPhC CRA

A 68-year-old ex-smoker with COPD remains breathless despite salbutamol. He has no asthma features and eosinophils are not raised. The GP asks for the next long-acting bronchodilator option. What is the most appropriate alternative?

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Correct answer: E — A long-acting muscarinic antagonist

A long-acting bronchodilator such as a LAMA is appropriate for persistent COPD symptoms. Long-term oral corticosteroids carry significant harm and are not standard maintenance treatment for stable COPD. Nebulised adrenaline and propranolol are unsuitable for this presentation.

Reference: https://www.pharmacyregulation.org/registration-assessment#stage-8-order-41