Cardiology: NSTEMI management: practice question

A General Medicine question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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General Medicine · Cardiology: NSTEMI management

Sample item

A patient has chest pain, ST depression and raised troponin without ST elevation. Which combination forms the core of initial treatment?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Aspirin, P2Y12 inhibitor, anticoagulant and early invasive strategy

NSTEMI is managed with dual antiplatelet therapy, parenteral anticoagulation, anti-ischaemic drugs and an early invasive strategy based on risk. Thrombolysis gives no benefit and may cause harm in NSTE-ACS. High-risk features justify angiography within 24 hours.

Option by option

  • A. Fibrinolysis with tenecteplase

    Fibrinolysis is not indicated without ST elevation.

  • B. Beta blocker alone

    Beta blocker alone does not address thrombosis.

  • C. Aspirin alone and discharge

    Aspirin alone is inadequate for a troponin-positive event.

  • D. Aspirin, P2Y12 inhibitor, anticoagulant and early invasive strategy (correct)

    Correct. Antiplatelets, anticoagulation and risk-guided angiography form the standard.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More General Medicine questions

Questions about this General Medicine question

What is the answer to this General Medicine question?

The best answer is D, Aspirin, P2Y12 inhibitor, anticoagulant and early invasive strategy. NSTEMI is managed with dual antiplatelet therapy, parenteral anticoagulation, anti-ischaemic drugs and an early invasive strategy based on risk.

Why is "Fibrinolysis with tenecteplase" not the answer?

Fibrinolysis is not indicated without ST elevation.

Why is "Beta blocker alone" not the answer?

Beta blocker alone does not address thrombosis.

Why is "Aspirin alone and discharge" not the answer?

Aspirin alone is inadequate for a troponin-positive event.

What concept does this question test?

It tests Cardiology: NSTEMI management in General Medicine. Thrombolysis gives no benefit and may cause harm in NSTE-ACS. High-risk features justify angiography within 24 hours.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Cardiology: NSTEMI management?

For each disease know the classic presentation, the best test, and the first-line treatment. Then use the flashcards and the other General Medicine questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.