10 free ABIM IM practice questions in the real exam format, covering the official content areas, with an explanation for every answer.
ABIM IM Practice Test 11Tutor mode
Question 1 of 10
Cardiovascular Disease
A 44-year-old woman is seen for a follow-up visit after an emergency department evaluation for recurrent chest pain. For 2 months she has had episodes of substernal tightness lasting 10 to 15 minutes that wake her between 4 AM and 6 AM. The episodes are not related to exertion, and she jogs 3 miles without symptoms. During one episode in the emergency department, an ECG showed 2-mm ST-segment elevation in leads II, III and aVF that resolved completely after sublingual nitroglycerin; serial troponin levels were normal. Coronary angiography the next day showed no obstructive disease. She smokes 10 cigarettes daily and has migraine without aura. She takes no medications. Blood pressure is 118/74 mm Hg and pulse rate is 70/min. The examination is normal. In addition to smoking cessation, which of the following is the most appropriate treatment?