USMLE® Step 1 style questions USMLE
A 60-year-old man is brought to the emergency department due to chest pain that started suddenly 15 minutes ago while playing with his grandchildren. The patient describes the pain as “pressure and tightness” located in the center of his chest. The patient reports that he occasionally experiences mild chest discomfort when going up the stairs. Medical history is significant for a 30-pack-year smoking history, hypercholesterolemia, and hypertension. The patient is given a sublingual medication while in the emergency department, and the symptoms resolve within a few minutes. Which of the following sets of hemodynamic changes is most likely to be seen in this patient following the administration of this medication?
*(-) decrease, (0) no effect, (+) increase
Stable angina exam links
Stable angina is a type of chest pain related to myocardial ischemia. It usually occurs when the heart muscle is not getting enough blood and oxygen due to atherosclerosis or other causes of narrowing of the coronary arteries. The chest pain is typically brought on by physical activity or emotional stress and does not occur at rest. It is completely relieved by rest or the administration of sublingual nitroglycerine.