A 72-year-old patient presents with a chronic productive cough and progressive breathlessness. He has a 50-pack-year smoking history. Spirometry shows...

Question

A 72-year-old patient presents with a chronic productive cough and progressive breathlessness. He has a 50-pack-year smoking history. Spirometry shows an FEV1/FVC ratio of 0.55. According to NICE, which medication is first-line therapy for symptomatic management if he has no asthmatic features?

Accepted Answer

Long-acting beta-2 agonist (LABA) + long-acting muscarinic antagonist (LAMA)

Answer

Inhaled corticosteroid alone

Answer

Long-acting beta-2 agonist (LABA) + inhaled corticosteroid

Answer

SABA as needed only

Answer

Oral corticosteroids

ukmla MCQ (SBA): COPD

A 72-year-old patient presents with a chronic productive cough and progressive breathlessness. He has a 50-pack-year smoking history. Spirometry shows an FEV1/FVC ratio of 0.55. According to NICE, which medication is first-line therapy for symptomatic management if he has no asthmatic features?