Question 1
A 66-year-old man with a 40 pack-year smoking history has post-bronchodilator FEV1 48% predicted and reports one moderate exacerbation in the past year with mMRC dyspnea score 3. Per GOLD 2024, which GOLD group applies and what is preferred initial maintenance therapy?
Correct Answer:
Group B — LABA + LAMA combination
Question 2
A 70-year-old COPD patient on LABA + LAMA combination has two moderate exacerbations in the past year and a peripheral blood eosinophil count of 380 cells/µL. What is the best next step?
Correct Answer:
Add inhaled corticosteroid (escalate to triple therapy)
Question 3
A 72-year-old COPD patient has chronic resting hypoxemia with SpO2 86% on room air and PaO2 52 mmHg. What is the indication and recommended duration for long-term oxygen therapy (LTOT)?
Correct Answer:
LTOT ≥15 hours per day to improve survival
Question 4
A 64-year-old with severe COPD (FEV1 28% predicted) and frequent exacerbations has had three hospitalizations for COPD exacerbations this year despite optimized triple inhaler therapy. He has stopped smoking. What additional therapy is most likely to reduce his exacerbation frequency?
Correct Answer:
Chronic azithromycin 250 mg daily or 500 mg three times weekly
Question 5
A 58-year-old woman presents with an acute COPD exacerbation. She has increased dyspnea, increased sputum volume, and purulent sputum (all three Anthonisen criteria). Per the REDUCE trial evidence, which oral corticosteroid regimen is appropriate?
Correct Answer:
Prednisone 40 mg daily for 5 days
Question 1
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About this Exam

Prepare with the ABIM Pulmonary Practice Questions - American Board of Internal Medicine Pulmonary Disease Subspecialty Certification Exam practice quiz. This question bank includes 100 questions covering year-old, shows, therapy, patient, and dyspnea. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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ABIM Pulmonary Practice Questions - American Board of Internal Medicine Pulmonary Disease Subspecialty Certification Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, shows, therapy, patient, and dyspnea. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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