NAPLEX (North American Pharmacist Licensure Examination) Practice Exam

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Which medication is not a part of the ACS treatment acronym 'MONA-GAP-BA'?

  1. GPIIb/IIIa antagonists

  2. PPIs

  3. Nitrates

  4. Aspirin

The correct answer is: PPIs

The MONA-GAP-BA acronym stands for the following medications used to treat ACS (acute coronary syndrome) morphine, oxygen, nitroglycerin, aspirin, GPIIb/IIIa antagonists, P2Y12 inhibitors, beta blockers, and ACE inhibitors or ARBs. Out of the choices given, only B, PPIs (proton pump inhibitors), is not included in the acronym and not typically used in the immediate treatment of ACS. PPIs may be used for long-term management of ACS, but they are not part of the initial emergency treatment. The other choices, A, C, and D, are all included in the MONA-GAP-BA acronym and are relevant to the immediate treatment of ACS.