Acute Coronary Syndromes and Ischemic Syndromes Practice Test

A 68-year-old female with a history of diabetes presents with nausea and sudden-onset severe epigastric pain radiating to her back. Her vital signs are BP 150/90 mmHg, HR 104/min, and RR 20/min. She states the pain is similar to her usual GERD but much worse. What is the most appropriate initial action?

A 70-year-old male presents with 45 minutes of crushing chest pain. The 12-lead ECG reveals a new left bundle branch block. The patient is a candidate for reperfusion therapy. During history taking, he states he had an ischemic stroke 2 months ago with minor residual weakness. Which intervention is most likely contraindicated?