A 45-year-old man with a 30-pack-year smoking history is diagnosed with COPD. Spirometry shows FEV1 55% predicted. He is still smoking. Which interven...

Question

A 45-year-old man with a 30-pack-year smoking history is diagnosed with COPD. Spirometry shows FEV1 55% predicted. He is still smoking. Which intervention is most likely to have the greatest long-term impact on disease progression and mortality?

Accepted Answer

Smoking cessation support including nicotine replacement therapy.

Answer

Adding a long-acting beta-2 agonist inhaler.

Answer

Adding an inhaled corticosteroid to his regimen.

Answer

Referral for pulmonary rehabilitation.

Answer

Annual influenza vaccination alone.

uk-plab-1 MCQ (SBA): Chronic obstructive pulmonary disease

A 45-year-old man with a 30-pack-year smoking history is diagnosed with COPD. Spirometry shows FEV1 55% predicted. He is still smoking. Which intervention is most likely to have the greatest long-term impact on disease progression and mortality?