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Stable angina — USMLE Step 3 MCQ

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ModerateInternal Medicine (chronic management)Stable anginaUSMLE Step 3

A 62-year-old man with chronic coronary disease reports exertional chest pressure when climbing two flights of stairs. Symptoms resolve with rest. ECG is unchanged, troponin is negative, and he is already taking aspirin and high-intensity statin. Which of the following is the most appropriate next step in management?

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Correct answer: E — Start beta-blocker therapy for symptom control

Stable exertional angina is treated with antianginal therapy such as beta-blockers plus aggressive risk-factor management.

Reference: 2023 AHA/ACC chronic coronary disease guideline