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Which of the following is LEAST important when obtaining a medical history from a patient complaining of chest discomfort?

  1. Family history of hypertension

  2. History of cigarette smoking

  3. History of previous heart attack

  4. Presence of personal risk factors

The correct answer is: Family history of hypertension

When obtaining a medical history from a patient complaining of chest discomfort, family history of hypertension is the least important among the choices provided. While a family history of hypertension can be relevant to the patient's overall health picture, it is not as directly linked to chest discomfort as the other options. This question likely aims to assess the relevance of the information gathered to the presenting complaint. Family history of hypertension may have less immediate impact on the evaluation and management of chest discomfort compared to the patient's history of cigarette smoking, previous heart attack, and personal risk factors, which are more directly associated with potential cardiac issues.