490. An 18-year-old male presents to the Emergency Department for evaluation of chest pressure for an hour. The pain is radiating to his jaw. On examination, he is diaphoretic, and he complains of nausea. Past medical history is unremarkable. Urine reveals positive benzolegonine. Below is his ECG. What is the most likely cause of the patient’s symptoms?
A. Early repolarization
B. Ischemia
C. Cocaine induced myocardial infarction
D. Atrial fibrillation
E. Wolf-Parkinson-White Syndrome
Filed under: USMLE Step 2CK Qbank, USMLE STEP III QUESTION BANK, USMLE Test Prep | Tagged: Archer cardiology, ARCHER ELECTROCARDIOGRAMS, ARCHER STEP3 LIVE REVIEWS, ARCHER STEP3 RAPID REVIEW, USMLE STEP 3 CARDIOLOGY, USMLE STEP 3 ELECTROCARDIOGRAMS, USMLE Step3, USMLE STEP3 PREPERATION | 5 Comments »