EUNACOM Sección Práctica Practice Questions - Chile EUNACOM Sección Práctica - Examen Clínico Objetivo Estructurado (ECOE) Exam

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In an OSCE simulation of Acute Cardiogenic Pulmonary Edema, a 66-year-old patient with ischemic cardiomyopathy presents in severe respiratory distress, sitting upright, diaphoretic, with bilateral pulmonary crackles up to the mid-zones, blood pressure 185/105 mmHg, heart rate 110 bpm, and SpO2 84% on room air. Which initial therapeutic combination should you execute immediately?

Position the patient seated upright with legs dangling, apply non-invasive positive pressure ventilation (CPAP/BiPAP), administer intravenous loop diuretic (Furosemide 40–80 mg IV), and initiate sublingual or IV Nitroglycerin infusion Place the patient in Trendelenburg position and infuse 2,000 mL of 0.9% normal saline rapidly Administer high-dose intravenous beta-blocker (Propranolol 5 mg IV push) and oral fluid bolus Administer intramuscular epinephrine and perform an immediate pericardiocentesis

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