This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Pharmacology
All of the following drugs are used in the management of Acute MI except - 
Select and explain. 
A. Tissue plasminogen activator, B. Intravenous b-blockers, C. Acetylsalicylic acid, D. Calcium channel blocker
D: Calcium channel blocker
Answer: D: Calcium channel blocker 
Explanation: Ans. is 'd' i.e., Calcium channel blocker In general, Acute MI refers to STEMI. Unlike P-blockers, CCBs are of little value in the acute setting (acute STEM1). o Calcium channel blockers may be used in unstable angina / Non STEMI when b-blockers are contraindicated or are ineffective. o Fibrinolytic therapy (thrombolysis by streptokinase, alteplase) is used in STEMI, while it is contraindicated in unstable angina (Non STEMI). o Loop diuretics are used in pulmonary edema; cerebral edema and other edema (hepatic, renal or cardiac); hypeension; along with blood transfusion; and hypercalcemia and renal calcium stones.