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General Medicine · Cardiology
Sample itemWhich symptom pattern is most typical of exertional stable angina?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Central chest pressure relieved by rest
Stable angina reflects a fixed coronary supply-demand mismatch and commonly causes predictable exertional chest pressure that improves with rest or nitrates; changing symptoms require urgent reassessment.
Option by option
A. Pleuritic pain worse on coughing
Pleuritic cough-related pain suggests pleural or respiratory causes.
B. Sharp pain reproduced by touching one rib
Pain reproducible at one rib is more consistent with chest-wall pain.
C. Burning pain after every meal only
Meal-related burning is more suggestive of reflux disease.
D. Central chest pressure relieved by rest (correct)
Correct: exertional pressure relieved by rest is typical stable angina.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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