Hem/Onc Quiz #30: Thrombolytics

1. A 65-year-old male presents to the emergency department with chest pain that started 2 hours ago. An ECG shows ST-segment elevation in leads V2-V4. The patient's past medical history is significant for hypertension and type 2 diabetes mellitus. Which of the following medications is most appropriate to administer immediately to this patient?

Question 1 of 5

2. A 58-year-old woman is brought to the emergency department with sudden onset of dyspnea and right-sided chest pain 1 hour after undergoing a total hip replacement surgery. Her oxygen saturation is 88% on room air. A CT angiogram of the chest confirms the presence of a pulmonary embolism. The patient's blood pressure is 85/55 mm Hg. Which of the following is the most appropriate treatment for this patient?

Question 2 of 5

3. A 72-year-old man with atrial fibrillation on warfarin therapy presents to the emergency department with sudden onset of left-sided weakness and slurred speech that began 30 minutes ago. A non-contrast CT scan of the head shows no evidence of hemorrhage. Which of the following is a contraindication to administering thrombolytic therapy in this patient?

Question 3 of 5

4. During the administration of a thrombolytic agent to a patient with STEMI, the patient develops sudden hypotension, tachycardia, and angioedema. Which of the following is the most likely cause of these symptoms?

Question 4 of 5

5. A 55-year-old man is receiving thrombolytic therapy for an acute ischemic stroke. Which of the following laboratory parameters should be closely monitored due to the increased risk of bleeding associated with this therapy?

Question 5 of 5


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