Coronary Artery Disease USMLE Step 1 Practice Question
A 59-year-old man presents with 40 minutes of crushing substernal chest pain radiating to his left arm. Vital signs show BP 142/88 mmHg, HR 98 bpm, RR 18, SpO2 98% on room air. ECG demonstrates ST segment depressions in lateral leads. Troponin I is elevated at 2.1 ng/mL. He denies dyspnea. He takes aspirin and atorvastatin daily. Which of the following is the most likely diagnosis?
Answer choices
- AAortic dissection
- BStable angina
- CPrinzmetal angina
- DCardiac tamponade
- ENSTEMICorrect answer
- FSpontaneous coronary artery dissection
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