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Stable Angina — MRCGP AKT MCQ

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HardCardiologyStable AnginaMRCGP AKTMRCP Part 1UKMLAPARA

A patient with stable angina remains symptomatic despite a short-acting nitrate. Resting pulse is 82/min, blood pressure 142/84 mmHg and there is no asthma. Which regular antianginal is appropriate initially?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Bisoprolol as regular antianginal treatment

The best answer is “Bisoprolol as regular antianginal treatment”. A beta blocker or calcium-channel blocker is offered as initial regular antianginal treatment, chosen according to comorbidity and preference. The short-acting nitrate remains for attacks. Other antianginals are considered when these are contraindicated or insufficient. If one first-line class is not tolerated, the other is tried before combining or moving to second-line agents such as ranolazine.

Reference: NICE CG126: Stable angina: https://www.nice.org.uk/guidance/cg126/chapter/Recommendations