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Stable angina evaluation — ABFM Board MCQ

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ModerateCardiovascularStable angina evaluationABFM Board

A 59-year-old woman with hypertension reports predictable chest pressure after climbing two flights of stairs that resolves with rest. Resting ECG is interpretable and she can exercise adequately. Which of the following is the most appropriate next step?

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

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Correct answer: E — Exercise treadmill stress testing

For stable exertional chest discomfort with an interpretable ECG and ability to exercise, exercise treadmill testing is an appropriate initial evaluation.

Reference: American Family Physician clinical reviews and AAFP guidance: https://www.aafp.org/pubs/afp.html