@beejumm
This is what the suggestion is referring to with your image and this card. I still think these terms are preferred use in test questions so don’t think it’s worth changing anything atm.
There was a suggestion regarding this on another card earlier
@mohannadkh10 suggested we change it back to atypical/typical instead of stable/unstable, so I updated the image
I think this might be an older suggestion, from before i updated the image (I updated it on Nov 3)
The image does say atypical now
True, I have the updated image with typical and atypical chest pain. However, the test here says “unstable” which I believe is incorrect so we might need to change the text
I didn’t realize you changed image until after I kept seeing these suggestions and looked into it more.
I think we should do a slack vote for terminology update for all cards, would you or @beejumm mind starting that? I haven’t had IM yet so haven’t really reviewed this since Step 1
I will look into this today and see how many card we might need to change
For this card, it’s not about terminology. It says (+) stress test and unstable angina, with the next step being cath. The additional resources are a bit confusing: one image (UWorld) is about stable CAD, and the other one (OME) is about ACS. In their algorithm, they handle unstable angina (ACS) the same as stable CAD, which is incorrect based on Amboss and UW.
Unstable angina is managed with cath within 24 hours. Doing a stress test on a patient with ACS (especially if acute) can induce arrhythmias and SCD. So, if you want to do a stress test, it should be after stabilization, and it’s rarely done in my opinion.
The card isn’t wrong per se, but I have two issues with it: (1) it will always create confusion, so I suggest changing it to “'unstable angina is managed with catheterization within 24 hours”,’ and (2) stress tests tend to be the wrong answer in almost any unstable angina question, and this card might create an association in our minds between stress testing and unstable angina.