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Chronic obstructive pulmonary disease — ABFM Board MCQ

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HardRespiratoryChronic obstructive pulmonary diseaseABFM Board

A 55-year-old man with 40 pack-years of smoking has chronic cough and dyspnea. Spirometry after bronchodilator shows FEV1/FVC 0.58 and FEV1 62% predicted. Chest radiograph has hyperinflation and no mass. Which of the following is the most likely diagnosis?

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Correct answer: DCOPD

Persistent airflow obstruction after bronchodilator with smoking history and hyperinflation supports COPD. Spirometry is required for diagnosis.

Reference: GOLD COPD Report, 2025