Deck 99: Abdominal Aortic Aneurysm

Question 1

A patient reports abdominal and back pain with anorexia and nausea. During an exam, the provider notes a pulsatile abdominal mass. What is the initial action?

A) Immediate referral to a thoracic surgeon
B) Ordering computerized tomography (CT) angiography
C) Scheduling a magnetic resonance imaging (MRI) to evaluate for aortic disease
D) Ultrasound of the mass to determine size (US)

Answer 1

D

Question 2

A 70-year-old patient presents with an aortic aneurysm measuring 5.0 cm. The patient has poorly controlled hypertension, and decompensated heart failure. What is the recommendation for treatment for this patient?

A) Endovascular stent grafting of the aneurysm
B) Immediate open surgical repair of the aneurysm
C) No intervention is necessary for this patient
D) Serial ultrasonographic surveillance (US) of the aneurysm

Answer 2

D