Question 4 of 10

A 34-year-old man presents to the emergency department with complaints of worsening chest pain, fever, and malaise. The pain is pleuritic, worsens when he lies down and improves when he leans forward. On exam, he appears unwell, but is not in acute distress. Auscultation over the precordium reveals a scratchy, grating sound with a normal S1 and S2. Which of the following is the most likely electrocardiogram finding in this patient?

A Shortened PR interval and slurring of the QRS complex
BST segment depression in leads V2-V4
CST segment diffuse elevation with reciprocal ST depression in leads aVR and V1
D U waves and flat T waves

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