QuestionSBA
QuestionChoice
This is the correct drug regime for the secondary prevention of a STEMI, it should be offered to all patients following a STEMI.
10000651
a
ACE inhibitor + dual antiplatelet therapy + beta-blocker + statin
QuestionChoice
Dual antiplatelet therapy would be given but other drugs would need to be given alongside it. Examples include an ACE inhibitor, beta blocker, and statin.
10000654
d
Dual antiplatelet therapy alone
QuestionChoice
This is a surgery which would have been carried out in hospital to treat the initial STEMI. It would not be used as secondary prevention. Cardiac rehabilitation centres advise for further management e.g. long-term drug management and lifestyle advice.
10000653
c
PCI (Percutaneous Coronary Intervention)
QuestionChoice
This would be appropriate in cardiac rehab. However, medical management requires a drug regime as well as any lifestyle advice and education being given.
10000655
e
Lifestyle advice and education e.g. weight loss, smoking cessation
QuestionChoice
Omega-3 should not be offered or advised to patients to take to prevent another MI. However, if they chose to take Omega-3, then there is no evidence of harm.
10000652
b
Omega-3 capsules
Concept
Chapter
2693
3802
Myocardial Infarction
Topic
134
Cardiology
12677
A 55-year-old male who suffered an ST-elevation myocardial infarction (STEMI) has been treated acutely and referred to a cardiac rehabilitation centre.

Which of the following is the most appropriate medical management for prevention of a further ischaemic event?
a