WBR0026

Author	PageAuthor::Raviteja Reddy Guddeti MBBS, Aarti Narayan MBBS (Reviewed by Gonzalo Romero)
Exam Type	ExamType::USMLE Step 2 CK
Main Category	MainCategory::Pharmacology, MainCategory::Internal medicine
Sub Category	SubCategory::Cardiology, SubCategory::Cardiovascular
Prompt	[[Prompt::A 35-year-old female presents with fever, weakness and pleuritic chest pain. The pain is relieved by sitting up and leaning forward. Auscultation reveals friction rub. Her EKG is depicted below: What is the best initial therapy in this patient?]]
Answer A	AnswerA::Colchicine
Answer A Explanation	AnswerAExp::Colchicine may be used to prevent recurrences.
Answer B	AnswerB::NSAIDs
Answer B Explanation	AnswerBExp::NSAIDs is the correct answer.
Answer C	AnswerC::Morphine
Answer C Explanation	AnswerCExp::Morphine is not the first drug of choice for acute pericarditis.
Answer D	AnswerD::Prednisone
Answer D Explanation	AnswerDExp::Oral prednisone is used in acute pericarditis in addition to NSAIDs when pain persists, but is not the best initial therapy to use.
Answer E	AnswerE::Diuretics
Answer E Explanation	AnswerEExp::Diuretics are used in the initial management of patients with chronic constrictive pericarditis, prior to surgical management.
Right Answer	RightAnswer::B
Explanation	[[Explanation::The correct answer is NSAIDs. This patients presentation is classic for acute pericarditis. NSAIDs, such as indomethacin and aspirin, are the best initial therapy for acute pericarditis. Educational Objective: References: ]]
Approved	Approved::Yes
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Linked Question	Linked::
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