1 MCQs in Medicine for NEET PG
A 45-year-old man with a 20 pack-year smoking history presents with chronic productive cough, dyspnoea on exertion, and recurrent lower respiratory tract infections over the past 3 years. Spirometry shows FEV₁ = 62% predicted, FEV₁/FVC ratio = 0.68. High-resolution CT chest reveals bronchial wall thickening with bronchus-to-artery ratio >1 in multiple lobes. Which of the following is the MOST appropriate next step in management?
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