USMLE Step 1 - Question 35

A 29 year old female with a history of migraine headaches is seen in the emergency room for substernal chest pains of acute onset that woke her up in the morning. During an episode of chest pain her ECG shows ST elevations. Coronary angiography was normal without any significant coronary artery disease, however ergotamine infusion reproduced her symptoms. Which of the following medications could potentially cause or worsen her condition?

A. nifedipine

B. sumatriptan

C. ibuprofen

D. estrogen

E. paroxetine

PROCEED TO ANSWER