Coronary Artery Disease USMLE Step 1 Practice Question
A 26 year old man comes to the emergency department because of sharp chest pain for 2 days. The pain is worse with inspiration and when lying flat and improves when he leans forward. He had an upper respiratory illness 1 week ago. Temperature is 37.9 C (100.2 F). Cardiac examination reveals a scratchy sound best heard at the left lower sternal border. Electrocardiogram shows diffuse ST segment elevations and PR segment depressions. Which of the following is the most likely diagnosis?
Answer choices
- APulmonary embolism
- BAcute pericarditisCorrect answer
- CST elevation myocardial infarction
- DAortic dissection
- EUnstable angina
- FAcute myocarditis
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