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CardiologyUSMLE Step 2 CKSample question

A 58-year-old man presents to the emergency department with sudden-onset crushing substernal chest pain that radiates to his left arm. The pain began 45 minutes ago while he was watching television. He has a history of hypertension and a 30 pack-year smoking history. On exam, he is diaphoretic. Blood pressure is 145/92 mmHg, pulse is 102/min, and oxygen saturation is 96% on room air.

ECG shows 3 mm ST-segment elevation in leads II, III, and aVF. Which of the following is the most likely diagnosis?

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Spaced repetition isn't enough. You need clinical reasoning, feedback, and pattern recognition. MedQ is built for all three.

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Thousands of board-style questions

Vignettes written and reviewed by clinicians, organized by system and topic, calibrated to the difficulty of the real exam.

2

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Every question comes with a detailed rationale for the correct answer plus an explanation of why each distractor is wrong.

3

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4

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Each question is written in the style of the real exam — full clinical vignettes, plausible distractors, and explanations that walk you through the reasoning rather than just naming the correct answer.

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CardiologyUSMLE Step 2 CKSample question

A 58-year-old man presents to the emergency department with sudden-onset crushing substernal chest pain that radiates to his left arm. The pain began 45 minutes ago while he was watching television. He has a history of hypertension and a 30 pack-year smoking history. On exam, he is diaphoretic. Blood pressure is 145/92 mmHg, pulse is 102/min, and oxygen saturation is 96% on room air.

ECG shows 3 mm ST-segment elevation in leads II, III, and aVF. Which of the following is the most likely diagnosis?

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