Q32: Updated Guideline PLAB 1 Exam Style Question
A. Aspirin + ticagrelor + immediate percutaneous coronary intervention
B. Aspirin + clopidogrel + immediate percutaneous coronary intervention
C. Aspirin + prasugrel + immediate percutaneous coronary intervention
D. Clopidogrel + LMWH + alteplase
E. Aspirin + clopidogrel + LMWH + repeat ECG in 20 minutes
This is a question based on the updated guideline. Try to answer this question in 50 seconds. Comment your answer below. The answer to this question is given below.
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The correct answer is C
Primary percutaneous coronary intervention is the gold-standard treatment for ST-elevation myocardial infarction.
As per NICE 2020 guideline:
PCI + anticoagulant = Clopidogrel + Aspirin
PCI and NO anticoagulant = Prasugrel + Aspirin
NO PCI = Ticagrelor + Aspirin
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