Answer and Explanation 7

 7.  The correct answer is A.  This patient is describing symptoms of stable angina.  The patient is in a low risk group.  From an outpatient management perspective it would be appropriate to manage him as an outpatient as described arranging for a stress test.  The patient has a normal EKG and does not have any active chest pain so a cardiac cath is not indicated at this point.  The patient does exhibit any symptoms suspicious for a pulmonary embolus so a VQ scan would not be helpful at this point.  While risk factor modification is important in the management of patients with or wanting to prevent CAD, a lipid panel could be ordered but this patient really needs an outpatient stress test.