Myocardial infarction 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 70-year-old woman comes to the emergency department due to an acute onset of epigastric pain. The pain started 30 minutes ago while she was gardening. She has been feeling nauseous and vomited once since the pain started. She denies chest pain or shortness of breath. Her medical history is significant for a 20-pack-year smoking history, hypertension, peptic ulcer disease, type 2 diabetes mellitus, and cholelithiasis. Her temperature is 37.0°C (98.6°F), pulse is 80/min, respirations are 18/min, and blood pressure is 145/85 mmHg. The patient appears distressed and diaphoretic. Physical examination shows normal heart sounds with no murmurs or gallops on auscultation. Lung auscultation reveals normal breath. Abdominal examination shows a soft, nontender abdomen with normal bowel sounds. Which of the following investigations should be immediately performed in this patient?  

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