When a patient says, "The chest pain occurs each time I play basketball; it does not occur when I am sleeping; and it improves when I take those pills under my tongue," the pain will most likely be classified as:
1. Variant or Prinzmetal's angina
2. Undifferentiated angina
3. Unstable angina
4. Stable angina
4
Rationale 1: Variant or Prinzmetal's angina occurs in an unpredictable pattern that is caused by vasospasm and cause transient ST-segment elevation. These are best treated with calcium channel blockers.
Rationale 2: There is no such term used to describe angina.
Rationale 3: Unstable angina does not respond well to nitroglycerin (NTG) and has no set pattern. The pain can occur at rest and with minimal exertion.
Rationale 4: Stable angina occurs in a predictable manner, not when resting, and improves with NTG under the tongue.
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