A62 year old female with a history of htn presents with left sided chest pain. which of the following sets includes tests that will need to be ordered to diagnose an stemi and an nstemi in the ed?
a) myoglobin and d-dimer
b) cxr and ekg
c) ekg and troponin
d) d-dimer and troponin

The correct tests to be done in this situation is Electrocardiogram and Troponin test.

Option C

The person said in this question is having Hypertension along with left sided chest pain. This is by far the most common symptom for cardiac arrest. So as soon as possible the patient is taken for an ECG test, which will tell us the electrical activities of heart along with the muscle conditions.

The second most important test is the biomarker test. Troponin is by far the most used and reliable biomarker for cardiac arrest. This biomarker is found in blood from very soon after the attack and remains in blood for a longer time than others. The most checked troponins are CK, CK-MB and the Myoglobin. These tests are recommended by WHO for a suspected cardiac arrest.

the earth’s crust is broken into separate pieces called tectonic plates (fig. 7.14). recall that the crust is the solid, rocky, outer shell of the planet. it is composed of two distinctly different types of material: the less-dense continental crust and the more-dense oceanic crust. both types of crust rest atop solid, upper mantle material. the upper mantle, in turn, floats on a denser layer of lower mantle that is much like thick molten tar.

each tectonic plate is free-floating and can move independently. earthquakes and volcanoes are the direct result of the movement of tectonic plates at fault lines. the term fault is used to describe the boundary between tectonic plates. most of the earthquakes and volcanoes around the pacific ocean basin—a pattern known as the “ring of fire”—are due to the movement of tectonic plates in this region. other observable results of short-term plate movement include the gradual widening of the great rift lakes in eastern africa and the rising of the himalayan mountain range. the motion of plates can be described in four general patterns:

collision: when two continental plates are shoved together

subduction: when one plate plunges beneath another (fig. 7.15)

spreading: when two plates are pushed apart (fig. 7.15)

transform faulting: when two plates slide past each other (fig. 7.15)