An 82 kg adult has a first episode of uncomplicated idiopathic acute pericarditis. Troponin and ventricular function are normal, infection is not susp...

Question

An 82 kg adult has a first episode of uncomplicated idiopathic acute pericarditis. Troponin and ventricular function are normal, infection is not suspected, and renal function and gastrointestinal bleeding risk do not preclude an NSAID. Which initial anti-inflammatory regimen is preferred?

Accepted Answer

Use an NSAID plus weight-adjusted colchicine for 3 months

Answer

Use colchicine alone for 1 month without aspirin or an NSAID

Answer

Use prednisolone plus colchicine as routine first-line treatment

Answer

Use an NSAID alone and stop it immediately when pain settles

Answer

Use aspirin or an NSAID plus colchicine 0.5 mg once daily for 12 months

Atrial Fibrillation — MRCP Part 1 MCQ

An 82 kg adult has a first episode of uncomplicated idiopathic acute pericarditis. Troponin and ventricular function are normal, infection is not suspected, and renal function and gastrointestinal bleeding risk do not preclude an NSAID. Which initial anti-inflammatory regimen is preferred?