skip to main content

Stable angina — RCPSC IM MCQ

Instant feedback + full explanation. One question, done properly.

HardCardiologyStable anginaRCPSC IM

A 60-year-old woman has exertional chest tightness relieved by rest. Resting ECG shows left bundle branch block, troponin is normal, and she can walk slowly but cannot exercise adequately because of knee osteoarthritis. Pretest probability of coronary disease is intermediate. What is the most appropriate investigation?

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

Reveal the answer and explanation

Correct answer: A — Pharmacologic stress imaging or coronary CT angiography depending local availability and patient factors

Stable exertional symptoms with uninterpretable ECG and limited exercise capacity require an imaging-based anatomic or functional test. Exercise ECG is not useful with left bundle branch block.

Reference: Canadian Cardiovascular Society chronic coronary syndrome practice