Question 1

Question

A 68-year-old woman with a history of hypertension and type 2 diabetes presents to the emergency department with 3 hours of epigastric discomfort, nausea, and diaphoresis. She denies chest pain or dyspnea. Her blood pressure is 148/92 mmHg, heart rate is 94 bpm, respiratory rate is 18/min, and oxygen saturation is 97% on room air. The ECG demonstrates 2 mm ST-segment elevations in leads II, III, and aVF with reciprocal ST depressions in leads I and aVL. Troponin I is pending. Which of the following is the most appropriate immediate next step in management?

Accepted Answer

Administer aspirin 325 mg and activate the cardiac catheterization laboratory for emergent percutaneous coronary intervention

Answer

Obtain an echocardiogram to assess wall motion abnormalities before initiating reperfusion therapy

Answer

Administer IV metoprolol to achieve rate control and reduce myocardial oxygen demand

Answer

Start IV heparin infusion and admit to the coronary care unit for observation pending troponin result

Answer

Perform CT angiography of the chest to exclude aortic dissection before antiplatelet therapy

Liver disease — MCQs

Liver disease — MCQs

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