Medicine Shelf Practice Questions - NBME Clinical Science Subject Exam Medicine Exam

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A 59-year-old man has 50 minutes of crushing substernal chest pressure, diaphoresis, and nausea. ECG shows 3-mm ST-segment elevation in leads II, III, and aVF. He is at a hospital with an available catheterization laboratory. What is the next best step?

Immediate coronary angiography with primary percutaneous coronary intervention Begin an exercise treadmill stress test Administer fibrinolytic therapy and observe for 24 hours Schedule outpatient cardiology follow-up

Correct Answer:

Immediate coronary angiography with primary percutaneous coronary intervention

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