stable angina

Practice targeted AMC-style multiple-choice questions on stable angina.

A 65-year-old male with a history of hypertension and type 2 diabetes presents with stable angina. He is currently on metformin, atorvastatin, and lisinopril. Which of the following medications is most appropriate to add to his regimen to reduce angina symptoms?

A. Diuretic (e.g., hydrochlorothiazide)

B. Beta-blocker (e.g., metoprolol)

C. Angiotensin II receptor blocker (e.g., losartan)

D. Calcium channel blocker (e.g., amlodipine)

E. Nitrate (e.g., isosorbide mononitrate)

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A 68-year-old male with a history of hypertension and stable angina is prescribed amlodipine. He returns after two weeks complaining of significant ankle edema. What is the most appropriate initial management step?

A. Add a beta-blocker to counteract the effects of amlodipine.

B. Advise the patient to elevate his legs and wear compression stockings.

C. Reduce the dose of amlodipine.

D. Switch to an alternative antihypertensive such as an ACE inhibitor or ARB.

E. Prescribe a diuretic to manage the edema.

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A 68-year-old man with a history of hypertension, type 2 diabetes, and stable angina is scheduled for elective hernia repair surgery. He is currently on aspirin, metformin, lisinopril, and atorvastatin. His last angina episode was over a year ago, and he has no history of myocardial infarction. What is the most appropriate preoperative management step to minimize his cardiovascular risk during surgery?

A. Discontinue aspirin therapy one week before surgery

B. Increase the dose of atorvastatin

C. Continue aspirin therapy

D. Order a preoperative stress test

E. Start beta-blocker therapy

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A 55-year-old man with a history of hypertension and stable angina is prescribed a new medication. He reports experiencing a persistent dry cough since starting the medication. Which drug is most likely responsible for this side effect?

A. Amlodipine

B. Losartan

C. Enalapril

D. Hydrochlorothiazide

E. Atenolol

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stable angina

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