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COPD inhaler escalation — GPhC CRA MCQ

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ModerateRespiratory TherapeuticsCOPD inhaler escalationGPhC CRA

A patient with COPD has persistent breathlessness despite using a short-acting bronchodilator. They have no features suggesting asthma. What is the most appropriate alternative?

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

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Correct answer: A — Long-acting bronchodilator inhaler

Long-acting bronchodilators are used for persistent COPD symptoms despite short-acting therapy. In this vignette, "Long-acting bronchodilator inhaler" is the safest single best answer. The other options are less appropriate because they miss the key clinical risk, conflict with UK medicines guidance, or delay needed review.

Reference: BNF; NICE CKS