CME Certified Federal Medical Examiner

Category - Risk Assessment

A driver with angina pectoris is examined. The examiner should determine whether the angina is stable or unstable. Each of the following may indicate stable angina EXCEPT:
  1. Sexual activity
  2. Pain occurring at rest
  3. Extremes in weather
  4. Physical exertion
Explanation
Answer: B - Pain occurring at rest

A medical examiner must distinguish between stable and unstable angina. Stable angina is typically triggered by a predictable pattern, including sexual activity, extremes in weather, physical exertion, or emotion. Pain occurring at rest is unpredictable, and is therefore an example of unstable angina.
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