MFBA Heart Disease exam notes (2025/2026) with detailed correct answers

MFBA Heart Disease exam notes (2025/2026) with detailed correct answers.

A 69-year-old female presents to the emergency department with a 1-hour episode of severe substernal chest pain that has now resolved. Her past medical history is notable for current tobacco abuse, hypertension, and depression. Her current medications include lisinopril/hydrochlorothiazide (zestoretic), 10/12.5 mg daily; citalopram (celexa), 20 mg daily; and aspirin, 81 mg daily. On examination she has a blood pressure of 150/92 mm hg and a pulse rate of 92 beats/min. An ekg reveals a sinus rhythm with deep and symmetrical t-wave inversions in the inferior leads.you decide to admit the patient to the hospital. Which one of the following should be administered on admission?

A. Alteplase (activase) intravenously
b. Aspirin, 81 mg, and nitroglycerin via intravenous drip
c. Enoxaparin (lovenox), 1 mg/kg subcutaneously, and nitroglycerin, 0.4 mg
sublingually
d. Ticagrelor (brilinta), 60 mg orally, and enoxaparin, 1 mg/kg
subcutaneously
e. Ticagrelor, 180 mg, and aspirin, 325 mg
e. Ticagrelor, 180 mg, and aspirin, 325 mg