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Stable coronary artery disease — USMLE Step 3 MCQ

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ModerateInternal Medicine (chronic management)Stable coronary artery diseaseUSMLE Step 3

A 63-year-old man had myocardial infarction 1 year ago. He takes aspirin and atorvastatin. Blood pressure is 146/86 mm Hg, creatinine is normal, and he has diabetes. He has no cough or angioedema history. Which of the following would you recommend at the follow-up visit?

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

Reveal the answer and explanation

Correct answer: C — Start an ACE inhibitor

ACE inhibitor therapy is beneficial in coronary disease with diabetes or hypertension and helps reduce cardiovascular events.

Reference: ACC/AHA Chronic Coronary Disease Guideline