Severe Copd 2 Days in Medicine / Internal Medicine — 68yo Man | Respiratory / Pulmonology | SMLE Q#10955

SMLE Question #10955

Medicine / Internal Medicine Respiratory / Pulmonology

Objective: OBJ-123

Last updated: February 2026
A 68-year-old man with severe COPD presents 2 days after an upper respiratory infection with worsening shortness of breath and confusion. He is using accessory muscles and is drowsy but arousable. What is the most appropriate next step in management?

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