A 62-year-old man with a history of type 2 diabetes mellitus and hypertension presents with a 2-hour history of central crushing chest pain radiating ...

Question

A 62-year-old man with a history of type 2 diabetes mellitus and hypertension presents with a 2-hour history of central crushing chest pain radiating to his left arm. His ECG shows ST elevation in leads II, III, and aVF. He is not allergic to any medications. What is the most appropriate initial pharmacological management in addition to aspirin and oxygen if required?

Accepted Answer

Ticagrelor 180mg orally

Answer

Clopidogrel 300mg orally

Answer

Morphine 5-10mg IV

Answer

Nitroglycerin (GTN) spray 2 puffs sublingually

Answer

Fondaparinux 2.5mg subcutaneously

ukmla MCQ (SBA): Acute ST-Elevation Myocardial Infarction (STEMI)