USMLE Question of the Week

Understanding Pharmacologic Prevention of Chest Pain

In Episode 74 of Med School Question of the Week for USMLE, Hussain Rao, MedSchoolCoach expert tutor, answers this medical school question:

A 68-year-old man with a past medical history of coronary artery disease, hypertension and asthma comes into clinic due to intermittent episodes of substernal chest pain and shortness of breath. These episodes occur when he is walking up stairs and during his morning exercises. His morning exercises consists of stretching and high intensity walking. He is concerned about this pain as it has impacted his ability to complete his morning workouts. His pulse is 92/min and blood pressure is 128/82. Physical examination is unremarkable and EKG shows no abnormalities. A drug that blocks which of following receptors is most likely to prevent future episodes of chest pain in this patient?

  • Muscarinic receptors
  • Alpha-2 adrenergic receptors
  • Aldosterone receptors
  • Beta-2 adrenergic receptors
  • Beta-1 adrenergic receptors
Click to Reveal the Correct Answer

Beta-1 adrenergic receptors


Hussain Rao

Hussain grew up in Springfield, Missouri. He is currently an MS3 in the University of Missouri-Kansas City School of Medicine combined BA/MD program. Hussain scored >250 on his USMLE Step 1 and Step 2 exams and >95th percentile on his shelf exams. He has extensive tutoring experience and is committed to helping each student unlock their full potential.

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