Clinical Quiz

A 65-year-old male with a history of hypertension and hyperlipidemia presents to the emergency department with acute onset crushing chest pain radiating to his left arm. ECG shows ST segment elevation in the anterior leads. Which of the following is the most appropriate initial antiplatelet therapy for this patient?

A 72-year-old female with diabetes and chronic kidney disease presents with acute substernal chest pain. Initial ECG shows ST segment depression in leads V3-V5. Which of the following anticoagulants would be most appropriate for this patient?

A 58-year-old male undergoes primary percutaneous coronary intervention for an anterior STEMI. Which of the following would be the most appropriate P2Y12 inhibitor for this patient?

A 66-year-old female with a prior history of GI bleeding presents with an inferior STEMI. She undergoes successful fibrinolytic therapy with tenecteplase. Which of the following anticoagulants would be most appropriate to use with fibrinolysis?

A 75-year-old male with NSTEMI and no initial ECG changes is scheduled for coronary angiography. He has no contradictions to antiplatelet or anticoagulant therapy. Which of the following medications would be most appropriate prior to coronary angiography?