COPD: ABFM practice questions

11 board-style questions on copd in the PulseMD family medicine question bank, written against current guidelines with the reference cited on each question. Two free samples below; the full set with answers, explanations, and spaced review is free to start.

Sample question 1

A 64-year-old man with a 40-pack-year smoking history presents with progressive dyspnea on exertion over 2 years. He reports a chronic productive cough most days. Spirometry shows FEV1/FVC ratio of 0.62 and post-bronchodilator FEV1 of 55% predicted. He has had one exacerbation requiring oral steroids in the past year. According to the GOLD classification, what is his COPD stage and risk group?

  1. GOLD 1, Group A
  2. GOLD 3, Group B
  3. GOLD 3, Group E
  4. GOLD 2, Group B

Sample question 2

A 70-year-old woman with COPD GOLD Group B (CAT score 18, one moderate exacerbation last year) is currently using a short-acting bronchodilator as needed. She reports persistent dyspnea limiting her daily activities. According to the 2023 GOLD report, what is the most appropriate initial maintenance therapy?

  1. Short-acting muscarinic antagonist (SAMA) scheduled four times daily
  2. Inhaled corticosteroid monotherapy
  3. Long-acting beta-agonist (LABA) plus inhaled corticosteroid (ICS)
  4. Long-acting muscarinic antagonist (LAMA) monotherapy

Create a free PulseMD account to answer these, see the explanations, and practice five minutes a day.

PulseMD is an independent educational resource and is not affiliated with, endorsed by, sponsored by, or approved by the American Board of Family Medicine.