Cardiology: acute coronary syndrome: 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: acute coronary syndrome

Sample item

A patient with STEMI arrives within 90 minutes of symptom onset at a PCI-capable centre. What is the preferred reperfusion strategy?

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

The answer and the reasoning

A. Primary percutaneous coronary intervention

Primary PCI is preferred when it can be delivered promptly by an experienced system because it restores coronary flow and reduces complications.

Option by option

  • A. Primary percutaneous coronary intervention (correct)

    Correct. Timely PCI is preferred reperfusion in this setting.

  • B. Elective stress testing

    Stress testing delays reperfusion.

  • C. Warfarin alone

    Warfarin is not acute reperfusion therapy.

  • D. Delayed thrombolysis after 24 hours

    Delayed lysis loses myocardium.

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 A, Primary percutaneous coronary intervention. Primary PCI is preferred when it can be delivered promptly by an experienced system because it restores coronary flow and reduces complications.

Why is "Elective stress testing" not the answer?

Stress testing delays reperfusion.

Why is "Warfarin alone" not the answer?

Warfarin is not acute reperfusion therapy.

Why is "Delayed thrombolysis after 24 hours" not the answer?

Delayed lysis loses myocardium.

What concept does this question test?

It tests Cardiology: acute coronary syndrome in General Medicine. The correct option holds because: Correct. Timely PCI is preferred reperfusion in this setting.

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: acute coronary syndrome?

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.