Brazil Healthcare Practice Test & Exam Prep

Access More Questions

A 58-year-old male presents to the emergency department (Unidade de Pronto Atendimento - UPA) with crushing substernal chest pain of 90 minutes' duration radiating to the left arm. Electrocardiogram reveals 3 mm ST-segment elevation in leads V1–V4 with reciprocal ST depression in II, III, and aVF. The nearest PCI-capable hospital is 3 hours away by ground ambulance. According to Brazilian acute coronary syndrome guidelines, what is the best immediate reperfusion strategy?

Administer intravenous fibrinolytic therapy (e.g., tenecteplase or alteplase) immediately within 10 minutes (door-to-needle), followed by transfer for pharmaco-invasive coronary angiography within 2 to 24 hours. Transfer the patient immediately for primary percutaneous coronary intervention (PCI) without administering fibrinolytics, regardless of transport delay. Administer unfractionated heparin and double-dose statin, observe clinical response for 6 hours, and perform elective angiography if pain persists. Perform emergency bedside pericardiocentesis and start therapeutic anticoagulation with enoxaparin.

Correct Answer:

Access more questions from this quiz

Continue to Brazil Healthcare Practice Test & Exam Prep for more practice questions and the full quiz experience.

Access More Questions