SMLE Practice Questions - Saudi Medical Licensing Examination (SMLE) (CBT Via Prometric) Exam

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A 67-year-old man with a 40-pack-year smoking history presents with chronic productive cough and progressive exertional dyspnea. Post-bronchodilator spirometry shows an FEV1/FVC ratio of 0.62. Which finding most strongly confirms a diagnosis of chronic obstructive pulmonary disease?

Reversibility of more than 20% with bronchodilator Raised serum eosinophils Post-bronchodilator FEV1/FVC less than 0.70 Restrictive pattern on spirometry

Correct Answer:

Post-bronchodilator FEV1/FVC less than 0.70

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