2 Weeks Of Intermittent in Medicine / Internal Medicine — 67yo Man | Cardiology | SMLE Q#20275
SMLE Question #20275
Medicine / Internal Medicine
Cardiology
Objective: OBJ-IM-CARD-ISCH-012
Last updated: July 2026
A 67-year-old man with ischemic heart disease and severe knee osteoarthritis presents with 2 weeks of intermittent exertional substernal chest pressure that resolves with rest. His knee pain prevents adequate treadmill exercise. Resting ECG shows sinus rhythm with nonspecific ST-T changes. Which stress test is most appropriate to evaluate for inducible myocardial ischemia in a patient who cannot exercise adequately?
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