COPD smoking — GPhC CRA MCQ
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Correct answer: D — Offer smoking cessation support and explain it is the highest-impact intervention
Smoking cessation is the key disease-modifying intervention in COPD. In this vignette, "Offer smoking cessation support and explain it is the highest-impact intervention" 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