How to Answer Year Female Evaluated Questions (Complete Guide)

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Original Question

A 65-year-old female is evaluated for shortness of breath with exertion and a chronic cough. She is often unable to walk farther than 200 feet without stopping to catch her breath. She is a current smoker with a 33-pack-year smoking history. She has no prior hospitalizations. On physical examination, her vital signs are within normal limits at rest. Auscultation of her lungs reveals bilateral expiratory wheezes. The remainder of her physical examination is normal. Spirometry is performed and shows an FEV1 of 72% of predicted. Her post-bronchodilator FEV1/FVC ratio is 60%. Her modified medical research council (mMRC) dyspnea score is 3. She is counseled on smoking cessation. Which of the following is the most appropriate pharmacological treatment for this patient? A. Monotherapy with a short-acting bronchodilator as needed B. Roflumilast C. Long-acting bronchodilator and an inhaled corticosteroid D. Short-acting bronchodilator as needed and a long-acting bronchodilator

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