Reválida Médica UBA Practice Questions - Examen General De Competencias Profesionales Para Reválida De Título Médico Extranjero (Universidad De Buenos Aires) Exam

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A 58-year-old male presents to a community hospital without a catheterization laboratory with 90 minutes of crushing substernal chest pain radiating to his left arm. The initial 12-lead ECG demonstrates 3 mm ST-segment elevation in leads V1 through V4. The estimated transfer time to the nearest percutaneous coronary intervention (PCI) center is 150 minutes. Which reperfusion strategy is most appropriate according to clinical practice guidelines?

Immediate administration of IV fibrinolytic therapy within 30 minutes of medical contact Immediate transfer for primary percutaneous coronary intervention (PCI) despite the expected delay Conservative medical management with dual antiplatelet therapy and heparin, deferring coronary angiography Urgent coronary artery bypass graft (CABG) surgery without prior angiography

Correct Answer:

Immediate administration of IV fibrinolytic therapy within 30 minutes of medical contact

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