1 MCQs in Medicine for NEET PG
A 68-year-old man with a 2-year history of progressive dyspnea and dry cough undergoes spirometry and HRCT chest. HRCT shows subpleural, basal-predominant reticulation with honeycombing and traction bronchiectasis, consistent with usual interstitial pneumonia (UIP) pattern. His spirometry reveals the pattern marked **A** in the diagram — severely reduced FVC at 42% predicted with a preserved FEV1/FVC ratio of 0.82. His DLCO is 28% predicted. What is the most appropriate next step in management?
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