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Chronic stable angina — USMLE Step 3 MCQ

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ModerateInternal Medicine (chronic management)Chronic stable anginaUSMLE Step 3

A 63-year-old man with diabetes has substernal chest pressure when walking uphill that resolves within 5 minutes of rest. Symptoms have been unchanged for 6 months. Resting ECG is normal. He has no pain at rest. Which of the following is the most likely diagnosis?

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

Reveal the answer and explanation

Correct answer: D — Chronic stable angina

Predictable exertional substernal pressure relieved by rest is chronic stable angina.

Reference: ACC/AHA chronic coronary disease guideline: https://www.acc.org/