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Non-ST-elevation ACS — ABEM Board MCQ

Instant feedback + full explanation. One question, done properly.

ModerateCardiovascular emergenciesNon-ST-elevation ACSABEM Board

A 67-year-old man with diabetes arrives with 2 hours of pressure-like chest pain. Triage acuity is ESI 2; BP 138/82 mm Hg, HR 94/min, SpO2 98%. ECG shows new ST depressions in V4-V6. Initial high-sensitivity troponin is elevated above the 99th percentile. Which of the following is the most appropriate next step in management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: C — Admit for NSTEMI management with antiplatelet and anticoagulant therapy

Ischemic symptoms, ST depression, and elevated troponin are diagnostic of NSTEMI and require inpatient ACS treatment.

Reference: ACEP Non-ST-Elevation Acute Coronary Syndromes clinical policy