Cert Cardiology(SA) Phys Practice Questions - Sub-specialty Certificate In Cardiology Of The College Of Physicians Of South Africa Exam

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A 58-year-old male presents with acute inferior STEMI and marked hypotension (BP 78/45 mmHg), clear lungs, and elevated jugular venous pressure (Kussmaul sign positive). Right-sided ECG (V4R) shows 2 mm ST elevation. What is the most appropriate immediate medical intervention?

Intravenous beta-blocker (metoprolol) 5 mg slow push Intravenous sublingual or IV nitroglycerin titration Intravenous furosemide 80 mg bolus Intravenous isotonic saline fluid boluses (0.9% NaCl)

Correct Answer:

Intravenous isotonic saline fluid boluses (0.9% NaCl)

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