Acute coronary syndrome is a thrombus on a ruptured plaque. Know the two branches (ST-elevation and non-ST-elevation), why aspirin comes first, why nitrates relieve pain but do not improve survival, and how fibrinolytics work, who they are for (ST-elevation only) and what they cost in bleeding. What these do and do not ask. Indications, adverse effects, contraindications and patient education are in, weighted above mechanism. Doses are out (the aspirin chew dose, the ointment measure and tablet strengths), and so are trial percentages, which is why the sets run shorter than the usual 30. Every option carries its own reason, correct and incorrect alike.
Answers reveal only after you choose. Your score and a breakdown by objective appear at the end, with a review of everything you missed.