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

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A 70-year-old woman with COPD presents with increased dyspnea, increased sputum volume, and new sputum purulence over 2 days. She is afebrile, alert, with SpO2 88% on room air. According to the Anthonisen criteria used in Canadian practice, this presentation most supports which management decision?

High-flow oxygen titrated to SpO2 100% and immediate intubation Inhaled bronchodilators alone with no antibiotics or steroids Antibiotics plus systemic corticosteroids and controlled oxygen titrated to SpO2 88-92% Discharge home with reassurance and a follow-up appointment in 6 weeks

Correct Answer:

Antibiotics plus systemic corticosteroids and controlled oxygen titrated to SpO2 88-92%

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