WBR0032

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Author Aarti Narayan MBBS, Raviteja Reddy Guddeti MBBS
Exam Type USMLE Step 3
Main Category Emergency Room
Sub Category Cardiovascular
Prompt A 65 year old male initially presents to the ER with crushing, retrosternal chest pain aswell as nausea and diaphoresis for more than 20 minutes of duration. Percutaneous coronary intervention was performed within 2 hours of arrival to the ER. The patient recovered over the next few days. The patient presented to the doctors office 6 weeks after being discharged, with a mild, retrosternal chest pain that was aggravated by a supine position, and relieved by leaning forward. He also has a mild cough and runny nose consistent with recent upper respiratory tract infection. Complete blood count was normal. What is treatment of choice for this patient?
Answer A Corticosteroids
Answer A Explanation Corticosteroids are not the treatment of choice in Dressler's syndrome.
Answer B Aspirin
Answer B Explanation This is the correct answer.
Answer C Morphine
Answer C Explanation Morphine is not the treatment of choice in Dressler's syndrome.
Answer D Cyclophosphamide
Answer D Explanation Cyclophosphamide is not the treatment of choice in Dressler's syndrome.
Answer E Rest
Answer E Explanation Rest alone will not treat Dressler's syndrome.
Right Answer B
Explanation The treatment of choice is high dose enteric coated Aspirin. Acetaminophen may be added for pain management.

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