Facharzt FMH Allgemeine Innere Medizin Practice Questions - Facharzt FMH Für Allgemeine Innere Medizin Spécialiste FMH En Médecine Interne Générale Exam

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A 62-year-old male with a 40 pack-year smoking history is evaluated for chronic dyspnea and cough. Post-bronchodilator spirometry demonstrates an FEV1/FVC ratio of 0.58 and an FEV1 of 52% of predicted. Over the past 12 months, he experienced two severe COPD exacerbations requiring hospitalization. His peripheral blood eosinophil count is 350 cells/µL. According to GOLD 2024/2026 guidelines, which maintenance inhaler regimen is most appropriate?
Correct Answer:
Triple therapy: Long-Acting Muscarinic Antagonist (LAMA) + Long-Acting Beta2-Agonist (LABA) + Inhaled Corticosteroid (ICS)

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