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    Non-ST-Elevation Acute Coronary Syndromes - Free CME Quick Quiz

    This week's Med-Challenger free CME quiz - Non-ST-Elevation Acute Coronary Syndromes - Surgical Invasive Management - covers the difference between urgent / immediate and early-invasive strategies, the use of GRACE scores to evaluate risk in patients with chest pain, findings on electrocardiography of a left main occlusion, a finding that often requires coronary artery bypass grafting, and patients who can undergo traditional exercise stress testing prior to discharge.

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    A free sample question is included below.

    The Non-ST-Elevation Acute Coronary Syndromes CME quiz online offers AMA CME & ANCC CNE credit.

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    Here's this week's free sample question...

    A 58-year-old man presents with chest pain consistent with an acute coronary syndrome. Electrocardiography (ECG) is obtained (see Figure).

    QQ230515 Non-ST-Elevation Acute Coronary Syndromes - Surgical Invasive Management case

    You think that the patient is a candidate for coronary artery bypass surgery instead of an emergent percutaneous coronary intervention because of the findings you observe on ECG.

    What finding on ECG is driving you to conclude this?

    Answer Options:
    • diffuse PR elevation

    • ST elevation in aVR with diffuse horizontal ST depression

    • lack of ST depression in lead V1

    • lack of ST elevation in lead V1 and narrow QRS complex
    See Full Answer

    The correct answer is:

    ST elevation in aVR with diffuse horizontal ST depression


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    This case-based review question comes from our Med-Challenger EM exam review and CME credit course for emergency physicans.

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