SMLE Practice Questions - Saudi Medical Licensing Examination (SMLE) (CBT Via Prometric) Exam

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A 58-year-old man presents with 30 minutes of crushing central chest pain radiating to the left arm. ECG shows 2 mm ST-segment elevation in leads II, III, and aVF. He arrives at a hospital with on-site primary PCI available within 60 minutes. What is the most appropriate immediate reperfusion strategy?

High-dose statin alone Fibrinolysis with alteplase Primary percutaneous coronary intervention Schedule elective coronary angiography in 48 hours

Correct Answer:

Primary percutaneous coronary intervention

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