13 board-style questions on chest pain in the PulseMD family medicine question bank — physician-reviewed, written against current guidelines with the reference cited on each question. Two free samples below; the full set with answers, explanations, and spaced review is free to start.
A 61-year-old man with hypertension and hyperlipidemia presents with substernal chest pressure that occurs when he walks uphill or climbs two flights of stairs and resolves within 5 minutes of rest. He has no symptoms at rest. An exercise stress test shows 1.5 mm horizontal ST depression at stage 3 of the Bruce protocol. His heart rate and blood pressure response are appropriate, and he has no arrhythmias. Coronary angiography reveals a 55% stenosis in the mid-LAD. What is the most appropriate management?
A 62-year-old man with hypertension and hyperlipidemia reports substernal chest pressure that occurs predictably with brisk walking uphill and resolves within 5 minutes of rest. His resting heart rate is 92 bpm and blood pressure is 142/86 mmHg. His resting ECG is normal. Echocardiography shows normal left ventricular function. He is currently taking lisinopril and atorvastatin. Which of the following is the most appropriate addition to his medication regimen for symptom control?
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