10 free ABFM practice questions in the real exam format, covering the official content areas, with an explanation for every answer.
ABFM Practice Test 1Tutor mode
Question 1 of 10
Acute Care and Diagnosis
A 34-year-old woman comes to the office because of 2 days of sharp, central chest pain that is worse when she lies flat or takes a deep breath and improves when she sits forward. She had an upper respiratory infection 10 days ago. She takes no medications. Temperature is 37.8°C (100.0°F), blood pressure 122/76 mm Hg, pulse 96/min, and oxygen saturation 98% on room air. A scratchy sound is heard at the left sternal border. An ECG shows diffuse concave ST-segment elevation with PR depression. High-sensitivity troponin is normal, and a bedside echocardiogram shows a trivial effusion with normal ventricular function. Which one of the following is the most appropriate initial treatment?