ACRRM MCQ Practice Questions - ACRRM MCQ Assessment (FACRRM Fellowship) Exam

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A 58-year-old man presents to a rural emergency department with 40 minutes of central crushing chest pain radiating to the left arm. His ECG shows 2 mm ST elevation in leads II, III and aVF. The nearest catheter laboratory is a 4-hour flight away. What is the most appropriate immediate reperfusion strategy?

Administer fibrinolytic therapy as soon as possible Arrange urgent retrieval for primary PCI without other treatment Give aspirin only and observe for 12 hours Withhold reperfusion until troponin returns elevated

Correct Answer:

Administer fibrinolytic therapy as soon as possible

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