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IPF with preserved FVC — SCE Respiratory MCQ

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ModerateInterstitial Lung DiseaseIPF with preserved FVCSCE Respiratory

A 74-year-old man with IPF has FVC 83% predicted and TLCO 52% predicted. He remains active but has radiological UIP and progressive symptoms. Liver function is normal. What is the most appropriate management?

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Correct answer: C — Discuss antifibrotic therapy and supportive care in an ILD MDT

Antifibrotic therapy should be discussed in confirmed IPF, including patients with preserved FVC depending on current NICE eligibility, alongside supportive care and monitoring. Waiting for severe decline loses the opportunity to slow progression. Routine high-dose corticosteroids are not recommended for stable IPF.

Reference: NICE CG163; NICE TA864/TA379/TA504 for IPF antifibrotics