A 34-year-old man presents with sharp central chest pain that improves when he leans forward and worsens when lying flat. He had a viral syndrome

Question

A 34-year-old man presents with sharp central chest pain that improves when he leans forward and worsens when lying flat. He had a viral syndrome last week. ECG shows diffuse ST elevation and PR depression; troponin is normal. Which of the following is the most appropriate next step?

Accepted Answer

Start NSAID therapy with colchicine if no contraindication

Answer

Order colonoscopy

Answer

Schedule routine follow-up in 1 year

Answer

Begin antibiotics for pneumonia

Answer

Start thrombolysis

Acute pericarditis — ABFM Board MCQ

A 34-year-old man presents with sharp central chest pain that improves when he leans forward and worsens when lying flat. He had a viral syndrome last week. ECG shows diffuse ST elevation and PR depression; troponin is normal. Which of the following is the most appropriate next step?