Maisonneuve fracture — ACEM Fellowship MCQ
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Correct answer: D — Admit for cardiology and invasive-risk review
Explanation lettering: C = shown as B · B = shown as C · E = shown as D · D = shown as E
E is correct. Dynamic ECG change with a rising troponin is high-risk ACS and needs admission for cardiology-led invasive-risk assessment. The other plans do not provide appropriate management of high-risk NSTEACS.
Reference: Heart Foundation: Australian clinical guideline for diagnosing and managing acute coronary syndromes: https://www.heartfoundation.org.au/for-professionals/acs-guideline