Internal Medicine Board Practice Questions - Saudi Board Internal Medicine Final Written Exam

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A 34-year-old man presents with sharp, retrosternal chest pain that is worse when lying flat and improves when sitting forward. He reports having a mild upper respiratory tract infection 2 weeks ago. His ECG shows diffuse, concave-upward ST-segment elevation with PR-segment depression in lead II and PR-segment elevation in lead aVR. What is the first-line pharmacotherapy for this patient?

High-dose ibuprofen or aspirin combined with colchicine Intravenous thrombolysis with alteplase Low-dose oral prednisone monotherapy Immediate coronary angiography and percutaneous coronary intervention

Correct Answer:

High-dose ibuprofen or aspirin combined with colchicine

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