Question of the Day

Try today's Question of the Day based on themes similar to the May 2010 MRCP part 1 exam.

A 29-year-old male is admitted with a one hour history of severe central chest pain associated with vomiting.

It transpires that he used cocaine three hours ago. His blood pressure is 142/74 mmHg and he has a pulse of 110 beats per minute regular. His ECG reveals 3 mm ST segment elevation in leads V2-5.

Which of the following is the most appropriate treatment for this patient?

(Please select 1 option)

Abciximab
Angiography +/- PTCA
Isoket infusion
Low molecular weight heparin
Tissue plasminogen activator (rtPA)

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