Moderate Exertion That Resolves in Medicine / Internal Medicine — 55yo Man | Respiratory / Pulmonology | SMLE Q#11431
SMLE Question #11431
Medicine / Internal Medicine
Respiratory / Pulmonology
Objective: OBJ-123
Last updated: February 2026
A 55-year-old man smokes four packs of cigarettes daily for 30 years and asks for help to quit. He reports substernal chest pain with moderate exertion that resolves within minutes of rest and declines cardiac evaluation today. Examination shows nicotine staining and elevated jugular venous pressure. During this visit, what is the most appropriate initial intervention to support smoking cessation?
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