QuestionSBA
QuestionChoice
Despite an Echocardiogram being useful in investigating Ejection Fraction and the status of the heart valves, it would not be an immediate investigation in this case.
10002515
e
Echocardiogram
QuestionChoice
ECG is the correct answer. An urgent ECG is required in every patient that has a suspected Acute Coronary Syndrome (ACS). ECG is the gold-standard method for helping to diagnose and differentiate between Acute Coronary Syndromes.
10002511
a
ECG
QuestionChoice
Gastroscopy is an investigation indicated in suspected GORD with red flag symptoms such as weight loss. As this patient has strong indicators from the history pointing to an ACS, gastroscopy would not be an appropriate investigation.
10002514
d
Gastroscopy
QuestionChoice
Although a CT Pulmonary Angiography is useful in diagnosing/ excluding a pulmonary embolism as a cause for chest pain, it would not be a first-line investigation in this case.
10002513
c
CTPA
QuestionChoice
Whilst a Chest X-ray can be useful in assessing for signs of heart failure, other causes of chest pain and pulmonary oedema, it is not the most urgent investigation required in this case.
10002512
b
Chest X-Ray
Concept
Chapter
2693
3713
Myocardial infarction and Acute Coronary Syndrome (ACS)
Topic
134
Cardiology
13049
A 60-year-old male with a 40-pack-year history of smoking presents to the Emergency Department with central crushing chest pain that radiates to the jaw, shortness of breath and clamminess, what is the most urgent investigation to perform?
a