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

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In an OSCE emergency station, a 60-year-old male presents with blood pressure of 210/120 mmHg. He is alert, oriented, and completely asymptomatic with no headache, chest pain, dyspnea, visual changes, or focal neurological deficits. Fundoscopic exam, ECG, and serum creatinine are normal. How should you classify this clinical state and manage blood pressure?

Hypertensive Urgency (Emergencia vs Urgencia Hipertensiva); manage in a calm outpatient observation setting with oral antihypertensive medications (e.g., Captopril, Losartan, or Amlodipine), aiming for gradual blood pressure reduction over 24 to 48 hours Hypertensive Emergency; administer continuous intravenous sodium nitroprusside infusion to acutely lower MAP by 60% within 15 minutes Pheochromocytoma; perform immediate emergency bilateral adrenalectomy Ischemic stroke; administer intravenous alteplase bolus immediately

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