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USLME Step 2 Review
Question #19 A 86 year old female with a history of diabetes mellitus and hypertension presents to the emergency room with a complaint of chest pain x 4 hours. She has noted severe nausea with 2 episodes of emesis as well. She is now chest pain free. Her blood pressure is 130/70, heart rate 50, respirations 20, and oxygen saturation 95% on room air. Physical examination reveals normal breath sounds and an S4 heart sound without murmurs. Her ECG is below. Which of the following is the next appropriate step in management? 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9
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