A 70 year old man with a 50 pack year smoking history presents with chronic cough and exertional dyspnoea. Spirometry shows FEV1/FVC 0.55 and FEV1 45%...

Question

A 70 year old man with a 50 pack year smoking history presents with chronic cough and exertional dyspnoea. Spirometry shows FEV1/FVC 0.55 and FEV1 45% predicted after bronchodilator. He continues to smoke 10 cigarettes daily. What is the single most effective intervention to slow progression of his lung disease?

Accepted Answer

Encourage complete smoking cessation with pharmacotherapy and counselling

Answer

Initiate long term oxygen therapy

Answer

Start dual long acting bronchodilators

Answer

Prescribe regular short acting salbutamol

Answer

Start long term oral corticosteroids

ca-mccqe1 MCQ (SBA): Chronic obstructive pulmonary disease