Copd Has Had 3 in Medicine / Internal Medicine — 63yo Woman | Respiratory / Pulmonology | SMLE Q#11529
SMLE Question #11529
Medicine / Internal Medicine
Respiratory / Pulmonology
Objective: OBJ-123
Last updated: February 2026
A 63-year-old woman with COPD has had 3 exacerbations in the past 12 months, 2 requiring oral corticosteroids and antibiotics. She stopped smoking 6 months ago (40 pack-year history). Despite as-needed salbutamol and daily tiotropium, she remains dyspnoeic on climbing one flight of stairs and has a chronic productive cough. Spirometry shows FEV1 39% predicted. What is the most appropriate next step in her management?
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