Coronary Artery Disease in Medicine / Internal Medicine — 50yo Man | Cardiology | SMLE Q#18530
SMLE Question #18530
Medicine / Internal Medicine
Cardiology
Objective: OBJ-IM-CARD-CHD-TESTING-001
Last updated: February 2026
A 50-year-old man has 3 months of recurrent substernal chest tightness radiating to the left shoulder. Episodes are triggered by exertion and resolve within 4 minutes of rest. His brother died suddenly at age 46. Resting ECG shows left bundle branch block. He is pain-free and hemodynamically stable in clinic. Which test is most appropriate to assess for coronary artery disease in this patient?
Continue in practice mode
Sign in and start a focused practice session to view options, submit your answer, and read the full explanation.