Copd in Medicine / Internal Medicine — 53yo Man | Respiratory / Pulmonology | SMLE Q#11429
SMLE Question #11429
Medicine / Internal Medicine
Respiratory / Pulmonology
Objective: OBJ-123
Last updated: February 2026
A 53-year-old man with COPD and a 40-pack-year smoking history was treated in the ED for an exacerbation and is now clinically stable. He is highly motivated to quit smoking. He previously used nicotine gum and transdermal patches on two separate quit attempts but relapsed within weeks and reports persistent cravings despite adherence. He has no history of seizures or eating disorders and is not taking monoamine oxidase inhibitors. What is the most appropriate next step in management?
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