🏥 USMLE Exam Prep

A 60-year-old male presents with intermittent substernal chest discomfort that occurs with exertion and resolves with rest. He has a history of hypertension and hyperlipidemia. An ECG at rest is unremarkable. Stress testing shows reversible ischemia in the anterior wall. Which of the following medications is most important for reducing the risk of myocardial infarction and death in this patient?

A Sublingual nitroglycerin
B Aspirin
C Metoprolol
D Lisinopril

✓ Correct Answer: Option B

Aspirin (antiplatelet) and statins are crucial for reducing cardiovascular mortality in stable angina patients by preventing clot formation and plaque progression. Beta-blockers improve symptoms, but aspirin directly addresses the risk of MI and death.

💡 Why is B) the correct answer?

The correct answer to the question "A 60-year-old male presents with intermittent substernal chest discomfort that occurs with exertion and resolves with rest. He has a history of hypertension and hyperlipidemia. An ECG at rest is unremarkable. Stress testing shows reversible ischemia in the anterior wall. Which of the following medications is most important for reducing the risk of myocardial infarction and death in this patient?" is Option B: Aspirin.

The other options — A) Sublingual nitroglycerin, C) Metoprolol, D) Lisinopril — are incorrect for this USMLE Exam Prep question. As explained above: Aspirin (antiplatelet) and statins are crucial for reducing cardiovascular mortality in stable angina patients by preventing clot formation and plaque progression. Beta-blockers improve symptoms, but…

📚 About This USMLE Exam Prep Practice Question

This 2-level USMLE Exam Prep question from the Step 2 CK – Clinical Knowledge topic is part of BrainForge Quiz's free exam preparation library. Each question includes the correct answer and a detailed explanation to help you understand the underlying concept, not just memorize the answer.

How to use this page: Read the question above, consider all four options (A through D), then check the highlighted correct answer and explanation. For active timed practice, start a free USMLE Exam Prep practice test or use flashcards for spaced repetition review.

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