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Question #36

A 56 year old male presents to the emergency department with chest pains, nasuea and vomiting. His temperature is 37.2, blood pressure 110/70, heart rate 50, respirations 20, and oxygen saturation normal on room air. Physical examination reveals normal breath sounds, an S4 heart sound, and a regularly irregular rhythm. Laboratory studies reveal an elevated troponin I level. His ECG is below. What is the treatment for his heart rhythm?

 
 A) Atropine
 B) Adenosine
 C) Emergency pacemaker placement
 D) Observation
 

Continue to question #37

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