A 65-year-old smoker has chronic productive cough and dyspnoea, with an FEV1/FVC ratio of 0.62 after bronchodilator. What is the most appropriate first-line inhaled therapy?

Answer and explanation

Correct answer: B. A long-acting bronchodilator

  1. Step 1: Long-acting bronchodilators are the first-line maintenance therapy in COPD. Answer: A long-acting bronchodilator. Why not the others: A long-term oral corticosteroid, A leukotriene antagonist and Regular nebulised antibiotics don't fit.

Practise more Cardiovascular and respiratory medicine.

Free questions with an explanation for every one, and full timed ENAM Practice (Peru National Medical Examination) mock tests.

A 65-year-old smoker… | ENAM Practice (Peru National Medical Examination)