Full 2L QBank
Medicine General b3a89d65

A patient presents with intense chestpain of 2 hrs duration. ECG shows ST depression in leads I and VI to V4. There is associated T inversion and CPK-MB is elevated. All of the following should be included in the management of this patient, Except:

A
Nitroglycerine drip
B
Aspirin
C
Coronary angiography
D
Streptokinase
High-Yield Explanation
Answer is D (Streptokinase) The patient is presenting as a case of Non ST Elevation MI (NSTEMI). Thrombolytic therapy is reserved for patient with STEMI and is not indicated in NSTEMI.

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