PANRE Practice Questions - Physician Assistant National Recertifying Examination Exam

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A 62-year-old male presents with chest pressure radiating to his left arm that began 30 minutes ago while walking. He is diaphoretic and nauseated. Vital signs: BP 148/92, HR 98, RR 18, SpO2 94% on room air. ECG shows ST-segment elevation in leads V1-V4. Which is the most appropriate immediate management?

Start heparin drip and admit for observation Administer aspirin, nitroglycerin, and activate the cath lab immediately Order troponin levels and repeat ECG in 2 hours Give morphine only and monitor pain resolution

Correct Answer:

Administer aspirin, nitroglycerin, and activate the cath lab immediately

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