Cardiology Q27

A 52-year-old woman is evaluated for a 6-week history of chest pressure. The symptom occurs when she walks up an incline on her daily 2-mile walk and is relieved with rest. She also had chest pressure during a stressful meeting at work last week. She reports no associated symptoms. Medical history is significant for hypertension and hyperlipidemia. Medications are hydrochlorothiazide, lisinopril, and atorvastatin. On physical examination, vital signs and the remainder of the examination are normal. An electrocardiogram is normal.

Which of the following is the most appropriate diagnostic test to perform next?

A Adenosine single-photon emission CT

B Coronary artery calcium scoring

C Exercise electrocardiography

D Stress echocardiography

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