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NBME Question? - angela64
#1
58 year old woman return to the office bcuz of heavy substernal chest pain that is relieved by nitroglycerin and rest . the pain occurs with exertion and is acc by some shortness of breath and sweating . 6 months she had CABG operation. vital sign today are normal. the patient is well develop, well nourished and in no acute distress. ekg show sinus rhythm withinterved t waves in v2, v4. what the next appropriate next step .

1 holter monitor
2 echo
3 MUGA scan
4 reapeat catheterization
5 thalium stress test
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