An MI patient who is already on aspirin no longer smokes and his cholesterol, ECG, echo and BP
are normal. Choose the best option for him:
- a. Give statin
- b. Give statin+warfarin
- c. Low cholesterol diet
- d. Statin+ACEi
0 voters
Ans. The key is D. Statin + ACEi.
[Offer all people who have had an acute MI treatment with the following drugs:
ACE (angiotensin-converting enzyme) inhibitor
dual antiplatelet therapy (aspirin plus a second antiplatelet agent)
beta-blocker
statin. (2007, amended 2013) [NICE guideline].
In 85% of the population this artery is dominant. What is the single most appropriate option?
- a. Left ant descending artery
- b. Coronary sinus
- c. Circumflex artery
- d. Left main stem, post descending artery
- e. Right coronary artery
0 voters
Ans. The key is E. Right coronary artery. [If the posterior discending artery is supplied by the circumflex
artery then it is left dominant and if posterior descending artery is supplied by the right coronary artery
then it is right dominant. As in 85% of population posterior descending artery is supplied by right
coronary artery it is called the dominant that is right coronary artery is dominant]