NAPLEX (North American Pharmacist Licensure Examination) Practice Exam

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Which component is not part of the immediate treatment for ACS (Acute Coronary Syndrome)?

Nitrates
Morphine
GPIIb/IIIa antagonists
Aspirin

The correct answer is: GPIIb/IIIa antagonists

In the immediate treatment for ACS (Acute Coronary Syndrome), the main goal is to reduce myocardial ischemia and prevent further complications. Nitrates, morphine, and aspirin are all essential components of immediate ACS treatment. Nitrates help to vasodilate coronary arteries, improve blood flow to the heart, and reduce chest pain. Morphine assists in pain relief and reduces anxiety and stress, which can contribute to worsening the condition. Aspirin is crucial in inhibiting platelet aggregation, thereby preventing clot formation in the coronary arteries. GPIIb/IIIa antagonists, on the other hand, are potent antiplatelet agents usually used in the hospital setting but are not typically part of the immediate treatment for ACS. While GPIIb/IIIa antagonists are vital in certain cases of ACS, they are usually reserved for use in conjunction with other medications and interventional procedures in the hospital.