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archer new qn - iara2
#1
here is a new qn on the blog
An 18-year-old male presents to the Emergency Department for evaluation of chest pressure for an hour. The pain is radiating to his jaw. On examination, he is diaphoretic, and he complains of nausea. Past medical history is unremarkable. Urine reveals positive benzolegonine. Below is his ECG. What is the most likely cause of the patient’s symptoms?
ekg at https://usmlestep3blog.com/2017/08/09/qu...-week-490/

A. Early repolarization
B. Ischemia
C. Cocaine induced myocardial infarction
D. Atrial fibrillation
E. Wolf-Parkinson-White Syndrome
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#2
C.) Cocaine induced MI
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#3
C. Due to age and ekg.
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#4
Also remnants of cocaine =benzolegonine in urine
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