A 46-year-old, otherwise healthy, male presents with recurrent chest pain that occurs through the night, at rest. Chest X-ray was within normal limits. EKG was within normal limits. Auscultation of the chest reveals no abnormalities. Cardiac stress testing was performed, but was uneventful and the patient remained asymptomatic throughout the exam. Based on the patient’s presentation, physical exam, and test results, which of the following is the most likely diagnosis?

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The material on the PANCE and PANRE is organized by the NCCPA into two dimensions, as indicated in the content blueprint for the examination. - Organ systems and the diseases, disorders and medical assessments physician assistants encounter within those systems; and - The knowledge and skills physician assistants should exhibit when confronted with those diseases, disorders and assessments. Medical Content Categories % Allocation: Cardiovascular System 13% Dermatologic System 5% Endocrine System 7% Eyes, Ears, Nose, and Throat 7% Gastrointestinal System/Nutrition 9% Genitourinary... Show more

A 46-year-old, otherwise healthy, male presents with recurrent chest pain that occurs through the night, at rest. Chest X-ray was within normal limits. EKG was within normal limits. Auscultation of the chest reveals no abnormalities. Cardiac stress testing was performed, but was uneventful and the patient remained asymptomatic throughout the exam. Based on the patient’s presentation, physical exam, and test results, which of the following is the most likely diagnosis?