Azerbaijan Medical Residents Final Attestation Practice Questions - Azerbaijan Medical Residents Final Attestation Examination (Həkim-Rezidentlərin Yekun Attestasiyası) Exam

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A 56-year-old male with acute anterior ST-elevation myocardial infarction (STEMI) undergoes successful primary percutaneous coronary intervention (PCI) with drug-eluting stent placement to the LAD. Echocardiography demonstrates a left ventricular ejection fraction (LVEF) of 35% with anterior wall akinesis. Which guideline-directed medical therapy (GDMT) combination must be initiated for long-term post-MI heart failure management?

Aspirin + P2Y12 inhibitor + ACE inhibitor (or ARNI) + Beta-blocker + Mineralocorticoid Receptor Antagonist (MRA) + SGLT2 inhibitor Aspirin monotherapy + Diltiazem + Furosemide Clopidogrel + Digoxin + Warfarin without beta-blockers Nitrates as monotherapy + Atorvastatin 10 mg

Correct Answer:

Aspirin + P2Y12 inhibitor + ACE inhibitor (or ARNI) + Beta-blocker + Mineralocorticoid Receptor Antagonist (MRA) + SGLT2 inhibitor

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