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ModerateRespiratory MedicineChronic Obstructive Pulmonary Diseaseus-abfmus-abimus-abemus-usmle-step-2us-usmle-step-3

A 54-year-old man with COPD presents for routine follow-up. He has a 45 pack-year smoking history, FEV1 55 percent predicted, and has had two moderate exacerbations requiring oral steroids in the last year. He is currently on short-acting bronchodilator as needed only. What inhaled regimen is most appropriate to reduce future exacerbations?

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