A GP in a small rural town conducts a telehealth consultation with a 58-year-old man who reports new-onset central chest tightness on exertion over th...

Question

A GP in a small rural town conducts a telehealth consultation with a 58-year-old man who reports new-onset central chest tightness on exertion over the past week, relieved by rest. There is no local access to troponin testing or stress testing. What is the most appropriate management?

Accepted Answer

Arrange urgent transfer to the nearest hospital with emergency and cardiology services for further assessment

Answer

Reassure and review in 4 weeks

Answer

Start a proton pump inhibitor and observe

Answer

Prescribe nitroglycerin and manage in the community indefinitely

Answer

Order a chest X-ray and no further action

au-amc MCQ (SBA): Chest pain in rural and remote settings

A GP in a small rural town conducts a telehealth consultation with a 58-year-old man who reports new-onset central chest tightness on exertion over the past week, relieved by rest. There is no local access to troponin testing or stress testing. What is the most appropriate management?