Approach to chest pain Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 44-year-old man presents to the emergency department for evaluation of chest pain. The patient states the pain started a few hours ago, and he also feels nauseous and sweaty. He notes that the pain is worse when he lies flat. He has had similar chest discomfort in the past, frequently occurring after eating dinner. The patient has not experienced worsening pain with exertion. The patient smokes one pack of cigarettes daily and drinks 2-3 beers daily. Past medical history includes obesity, hypertension, and hyperlipidemia. The patient’s father passed away from a myocardial infarction at age 52. Temperature is 37.0°C (98.6°F), pulse is 89/min, respirations are 18/min, blood pressure is 166/100 mmHg, and oxygen saturation is 99% on room air. Physical examination is unremarkable. Which of the following is the next best step in management for this patient?

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