Type 2 Diabetes Mellitus in Medicine / Internal Medicine — 58yo Man | Cardiology | SMLE Q#16691
SMLE Question #16691
Medicine / Internal Medicine
Cardiology
Objective: OBJ-163
Last updated: February 2026
A 58-year-old man with type 2 diabetes mellitus, hypertension, and ischemic heart disease reports progressive exertional dyspnea for 4 months. He becomes short of breath when walking quickly or climbing several flights of stairs at work. He has no symptoms at rest and completes ordinary daily activities without limitation. What is the most appropriate New York Heart Association (NYHA) functional class for his symptoms?
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