Deck 107: Peripheral Arterial and Venous Insufficiency
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Deck 107: Peripheral Arterial and Venous Insufficiency
An elderly adult patient without prior history of cardiovascular disease reports lower leg soreness and fatigue when shopping or walking in the neighborhood. The primary care provider notes decreased pedal pulses bilaterally. Which test will the provider order initially to evaluate for peripheral arterial disease based on these symptoms?
A) Digital subtraction angiography
B) Doppler ankle, arm index
C) Magnetic resonance angiography
D) Segmental limb pressure measurement
A) Digital subtraction angiography
B) Doppler ankle, arm index
C) Magnetic resonance angiography
D) Segmental limb pressure measurement
B
A 75-year-old patient reports pain and a feeling of tiredness in both legs that only relieves after sitting for 30 minutes or more. What the does provider suspect as the cause for these symptoms?
A) Buerger's disease
B) Cauda equina syndrome
C) Diabetic neuropathy
D) Peripheral arterial disease (PAD)
A) Buerger's disease
B) Cauda equina syndrome
C) Diabetic neuropathy
D) Peripheral arterial disease (PAD)
B
A patient is diagnosed with peripheral arterial disease (PAD) and elects not to have angioplasty after an angiogram reveals partial obstruction in lower extremity arteries. What will the provider recommend to help manage this patient's symptoms?
A) Daily aspirin therapy to prevent clotting
B) Statin therapy with clopidogrel
C) Walking slowly for 15 to 20 minutes twice daily
D) Walking to the point of pain each day
A) Daily aspirin therapy to prevent clotting
B) Statin therapy with clopidogrel
C) Walking slowly for 15 to 20 minutes twice daily
D) Walking to the point of pain each day
D