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General Medicine General 5fe9fd15

After using transdermal nitroglycerin skin patches for 1 week, a patient with an 8-month history of chronic stable angina pectoris observes an increasing frequency of mild angina episodes during exeion. The patient has been conscientiously applying a new patch every morning immediately after removing the old one. The patient's increased frequency of anginal attacks is most likely because of

A
A sudden onset of vasospastic angina
B
Engaging in vigorous exercise
C
Cellular tolerance to organic nitrates
D
Induction of cytochrome P450 enzyme by nitroglycerin

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