WBR0026

Author	PageAuthor::Raviteja Reddy Guddeti MBBS, Aarti Narayan MBBS
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 male presents with fever, weakness and chest pain that is pleuritic in nature. The pain is relieved by sitting up and leaning forward. The patient describes the pain as sharp and brief. Auscultation reveals friction rub. 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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