Your in the soup, and the forcast was wrong, again. The breifer said freezing level was supposed to be at 9000, and your at the MEA of 6000. Tops are reported at 17000. You are over mountains, and the nearest airport is 40 minutes away, along with the possibility of a lower altitude. You can't turn back because it's getting worse behind you. Do you deal with the ice, which is going to cripple you airplane, or do you climb up above it and deal with Hypoxia? The airplane you are flying is turbocharged with a service ceiling of 25000. The O2 bottle is empty.