If you find the material on this website useful, you will find that the two books ACES for PACES and KEYS to SUCCESS in Medicine complement the material on these sites and will enhance your studying and revision

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BOF:2

A 42 year old male presents with central chest pain . There is no significant past medical history and he is not on any drugs. He smokes 10 cigarettes a day but does not drink .

On examination he is febrile , pulse 100 beats per minute regular , BP 130/80 JVP not raised , heart sounds were normal and there were no murmurs . Lungs were clear.

ECG shows widespread ST segment elevation and T inversion .

In this patient your next line of mamagement would be :

a)      Thrombolysis

b)      Low molecular weight heparin

c)      Aspirin

d)     NSAIDs

e)      Angioplasty

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