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Arab Board IM Final Written Practice Questions - Arab Board Internal Medicine Final Written Examination Exam

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A 28-year-old previously healthy man presents with sharp, retrosternal chest pain that began 24 hours ago. The pain worsens with deep inspiration and when lying flat on his back, but improves when sitting upright and leaning forward. A 12-lead ECG demonstrates widespread concave-upward ST-segment elevation with PR-segment depression in leads I, II, aVF, and V3 through V6, along with PR-segment elevation in lead aVR. High-sensitivity troponin levels are within normal limits. Which of the following is the first-line pharmacologic treatment for this patient?
Correct Answer:
High-dose ibuprofen plus colchicine

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