10 free ABFM practice questions in the real exam format, covering the official content areas, with an explanation for every answer.
ABFM Practice Test 3Tutor mode
Question 1 of 10
Acute Care and Diagnosis
A 74-year-old man comes to the office after he fainted while walking briskly uphill 3 days ago. He recovered within a minute. For several months he has had chest tightness and dyspnea with exertion. He has hypertension treated with chlorthalidone. Blood pressure is 118/80 mm Hg and pulse 74/min with no orthostatic change. A grade 3/6 late-peaking crescendo-decrescendo systolic murmur is heard at the right upper sternal border, radiating to both carotids. Carotid upstrokes are delayed and weak. An ECG shows left ventricular hypertrophy. Which one of the following is the most appropriate next step in evaluation?