MKSAP has been trusted by internists since 1967 as the best resource for updating knowledge. MKSAP 18, available in Complete, Digital, and Print packages, consists of 11 comprehensive text chapters with related multiple-choice questions. You'll find 1,200 completely new questions to help you identify learning gaps, stay current, and gain the knowledge you need to provide the best possible patient care. MKSAP 18's original and high-quality questions evolve out of case studies and patient scenarios based on the latest evidence.
For more information on MKSAP 18, or to order your copy, visit
MKSAP 18 Q & A
A 69-year-old man is evaluated in the hospital for four episodes of chest pain at rest in the past 24 hours. Medical history is significant for hyperlipidemia, hypertension, tobacco use, and previous transient ischemic attack. Medications are aspirin, hydrochlorothiazide, atorvastatin, and ramipril.
On physical examination, vital signs are normal. The remainder of the examination is unremarkable.
Laboratory studies are notable for normal serum troponin levels.
An electrocardiogram demonstrates 2-mm ST-segment depressions in leads V4 through V6.
Metoprolol, nitrates, clopidogrel, and heparin are initiated.
Which of the following is the most likely diagnosis?
A: Adenosine nuclear stress testing
B: Coronary CT angiography
C: Exercise stress electrocardiography
D: Urgent angiography