AOBEM Emergency Medicine Practice Questions - AOBEM Emergency Medicine Primary Certifying Examination Exam

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A 62-year-old man presents with crushing substernal chest pain for 45 minutes. ECG shows 3 mm ST elevation in leads II, III, and aVF with reciprocal ST depression in I and aVL. What is the most appropriate next step?

Activate the cardiac catheterization lab for primary PCI Administer IV nitroglycerin and observe for 30 minutes Obtain a stat CT pulmonary angiogram Begin fibrinolytic therapy with tenecteplase immediately

Correct Answer:

Activate the cardiac catheterization lab for primary PCI

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