30-pack-year Smoking History Reports in Medicine / Internal Medicine — 55yo Man | Respiratory / Pulmonology | SMLE Q#16669
SMLE Question #16669
Medicine / Internal Medicine
Respiratory / Pulmonology
Objective: OBJ-123
Last updated: February 2026
A 55-year-old man with a 30-pack-year smoking history reports chronic daily productive cough and progressive exertional dyspnea. Over the last 3 days, his dyspnea and sputum volume have worsened, with yellow sputum. Chest examination shows hyperresonance, reduced bilateral breath sounds, and scattered rhonchi. He is treated in the emergency department for an acute exacerbation of COPD. Which of the following is the most appropriate first-line inhaled agent to start for rapid relief of dyspnea?
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