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Stable angina evaluation — ABFM Board MCQ

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HardCardiovascularStable angina evaluationABFM Board

A 66-year-old man has exertional chest pressure relieved by rest. ECG is normal at rest, troponin is negative, and he can exercise. Pretest probability of obstructive coronary disease is intermediate. 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: C — Exercise stress testing or coronary CT angiography based on local expertise

Stable exertional chest pain with intermediate pretest probability warrants noninvasive evaluation such as functional stress testing or coronary CT angiography. Acute MI treatment is not indicated with stable symptoms and negative troponin.

Reference: ACC/AHA Chest Pain Guideline