NAC OSCE Practice Questions - National Assessment Collaboration Objective Structured Clinical Examination (NAC OSCE) Exam

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A 58-year-old man presents with crushing substernal chest pain radiating to the left arm for 40 minutes, with diaphoresis and nausea. His ECG shows 2 mm ST elevation in leads II, III, and aVF. In a NAC OSCE station, what is the single most time-critical management priority after confirming the diagnosis?

Arrange urgent reperfusion (primary PCI or thrombolysis) and give aspirin 160-325 mg chewed Order a troponin and wait for the result before any treatment Start an oral beta-blocker and discharge with cardiology follow-up Obtain a CT pulmonary angiogram to exclude pulmonary embolism

Correct Answer:

Arrange urgent reperfusion (primary PCI or thrombolysis) and give aspirin 160-325 mg chewed

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