1)     Mr. Nixon is a 58 year old male who presents to the emergency department complaining of substernal

chest burning and discomfort. He has no significant medical history and takes no daily medications. He gets some relief from a GI cocktail. The 12 lead ECG demonstrates non-specific ST-T wave changes in leads V4-V6 and lead I. The AGACP knows that in accordance with standard of care the next step in assessment and management of this patient would include

a)     Fibrinolytic therapy

b)     GI consult for endoscopy

c)      Cardiac isoenzymes and troponins

d)     Beta adrenergic blockade and thrombin inhibitors.