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MCQ 4: ACS Management with AnemiaQuestion: An elderly patient with known triple vessel coronary artery disease presents with chest pain and shortness of breath. His ECG shows ST depression in multiple leads, and his hemoglobin is 62 g/L. What is the most appropriate management?%u2022Aspirin only%u2022Aspirin and clopidogrel%u2022Aspirin, clopidogrel, and fondaparinux%u2022Aspirin, clopidogrel, fondaparinux, and blood transfusion%u2022Immediate coronary angioplastyAnswer: Aspirin, clopidogrel, fondaparinux, and blood transfusionExplanation: This patient is presenting with acute coronary syndrome (ACS) complicated by severe anemia. The management should include dual antiplatelet therapy (aspirin and clopidogrel), anticoagulation (fondaparinux), and blood transfusion. The hemoglobin level of 62 g/L is severely low and likely contributing to cardiac ischemia, thus necessitating blood transfusion along with standard ACS management.