Question

A 65-year-old patient with a 40-pack-year smoking history presents with chronic cough and dyspnoea. Spirometry confirms COPD with FEV1 50% predicted. He is on a SABA PRN. What is the next step in management according to NICE guidelines?

Accepted Answer

B. Long-acting beta-2 agonist (LABA) plus inhaled corticosteroid

Answer

A. High-dose inhaled corticosteroid monotherapy

Answer

C. Long-acting muscarinic antagonist (LAMA)

Answer

D. Oral theophylline

Answer

E. Nebulised bronchodilators

Practice question

A 65-year-old patient with a 40-pack-year smoking history presents with chronic cough and dyspnoea. Spirometry confirms COPD with FEV1 50% predicted. He is on a SABA PRN. What is the next step in management according to NICE guidelines?