Q:

A 39 year old man presents to the emergency department with persistent cough, sputum and dyspnea. He gave a history of smoking 20 cigarettes/day for the last 10 years. Patient was given oxygen in ambulance but he is not improving. What is the next step?

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A 39 year old man presents to the emergency department with persistent cough, sputum and dyspnea. He gave a history of smoking 20 cigarettes/day for the last 10 years. Patient was given oxygen in ambulance but he is not improving. What is the next step?


  1. Prednisolone
  2. Salbutamol
  3. Check ABG
  4. CXR
  5. ECG

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The key is C. Check ABG. [The patient has COPD and as no improvement with oxygen, next step is to check ABG to give guidance for next treatment plan].

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