Severe Copd Reports Progressive in Medicine / Internal Medicine — 70yo Man | Respiratory / Pulmonology | SMLE Q#18145

SMLE Question #18145

Medicine / Internal Medicine Respiratory / Pulmonology

Objective: OBJ-RESP-021

Last updated: February 2026
A 70-year-old man with severe COPD reports progressive exertional dyspnea and ankle swelling. Examination shows raised JVP, loud P2, hepatomegaly, and bilateral pitting leg edema. He is stable in clinic and not in acute exacerbation. Which intervention is most associated with increased survival in this patient?

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