Practice question

Answer the question and get instant feedback.

MediumRespiratoryCOPD maintenance therapyau-amcau-racgp

A 55-year-old man presents with progressive exertional dyspnoea and chronic cough productive of sputum. Spirometry shows FEV₁/FVC 0.6 and FEV₁ 65% predicted. He has had one exacerbation treated with oral steroids in the last year. He currently uses short-acting bronchodilator only. What is the most appropriate next pharmacological step?

Educational content. Not a substitute for clinical judgement or local policy.