Examen Integrado - Medicina Practice Questions - Argentina Medical Residencies Integrated Examination (Examen Integrado De Residencias De La Salud - Medicina) Exam

Access More Questions

A 58-year-old male arrives at a rural community hospital in Buenos Aires Province with severe retrosternal crushing chest pain of 2 hours duration, diaphoresis, and nausea. An immediate 12-lead ECG reveals 3 mm ST-segment elevation in leads V1 through V4. The local center lacks a cardiac catheterization laboratory, and the expected transfer time to the nearest percutaneous coronary intervention (PCI) center is 150 minutes. The patient has no contraindications to anticoagulation or thrombolysis. What is the MOST appropriate next reperfusion strategy?

Immediate intravenous fibrinolytic therapy (e.g., tenecteplase or alteplase) administered within 30 minutes of arrival Immediate emergent transfer for primary percutaneous coronary intervention (PCI) regardless of transfer delay Administration of high-dose intravenous nitroglycerin infusion with repeat ECG in 60 minutes Conservative medical management with aspirin, clopidogrel, and subcutaneous low-molecular-weight heparin without reperfusion

Correct Answer:

Immediate intravenous fibrinolytic therapy (e.g., tenecteplase or alteplase) administered within 30 minutes of arrival

Access more questions from this quiz

Continue to Examen Integrado - Medicina Practice Questions - Argentina Medical Residencies Integrated Examination (Examen Integrado de Residencias de la Salud - Medicina) Exam for more practice questions and the full quiz experience.

Access More Questions