40-pack-year Smoking History in Medicine / Internal Medicine — 68yo Man | Infectious Diseases | SMLE Q#16898
SMLE Question #16898
Medicine / Internal Medicine
Infectious Diseases
Objective: OBJ-349
Last updated: February 2026
A 68-year-old man with a 40-pack-year smoking history and COPD on inhaled bronchodilators attends a routine primary care visit. Three years ago, he had a painful unilateral vesicular rash in a thoracic dermatomal distribution that resolved completely. He has no history of immunodeficiency, cancer chemotherapy, or organ transplantation. He asks how to reduce the chance of recurrence. What is the most appropriate management?
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