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Question 1
A 58-year-old male arrives at the emergency department triage complaining of retrosternal chest tightness radiating to the left shoulder for 45 minutes. In an OSCE clinical evaluation station for acute chest pain triage, what is the mandatory immediate sequence of actions to perform within the first 10 minutes of patient arrival?
Correct Answer:
Obtain a 12-lead ECG within 10 minutes, assess vital signs and SpO2, establish IV access, take a focused history, and order baseline cardiac troponins while preparing dual antiplatelet therapy if ST elevation is detected
Question 2
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?
Correct Answer:
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
Question 3
During a clinical simulation station on syncope, a 22-year-old female presents after a brief loss of consciousness while having blood drawn while standing. She describes a clear prodrome of warmth, lightheadedness, nausea, tunneling of vision, and pallor before slumping to the ground, with immediate spontaneous return of full consciousness within 15 seconds of assuming a recumbent position. Physical exam, orthostatic vitals, and 12-lead ECG are completely normal. What is the diagnosis and appropriate management?
Correct Answer:
Vasovagal (neurocardiogenic / reflex) syncope; reassure the patient, educate on recognizing prodromal symptoms, advise counter-pressure maneuvers (leg crossing, hand gripping), and avoid triggers without hospital admission
Question 4
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?
Correct Answer:
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
Question 5
You are evaluated on your initial bedside management of Septic Shock in a simulated 70-year-old male with urosepsis. His BP is 78/48 mmHg (MAP 58 mmHg), HR 122 bpm, RR 26 bpm, and blood lactate is 4.4 mmol/L. According to the Surviving Sepsis Campaign guidelines, which actions must be demonstrated within the 1-Hour Sepsis Bundle?
Correct Answer:
Measure serum lactate, obtain at least two sets of blood cultures prior to antibiotics, administer broad-spectrum IV antimicrobials within 1 hour, infuse 30 mL/kg of balanced crystalloid solution within 3 hours, and apply IV Norepinephrine if MAP remains <65 mmHg
Question 1
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Prepare with the EUNACOM Sección Práctica Practice Questions - Chile EUNACOM Sección Práctica - Examen Clínico Objetivo Estructurado (ECOE) Exam practice quiz. This question bank includes 100 questions covering year-old, station, male, presents, and emergency. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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

This practice set contains 100 questions from the matching question bank and focuses on year-old, station, male, presents, and emergency. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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