Vascular Surgery Board Exam Started: Jul 13, 2026 16:22 Page 26 of 49 Attempt #2920 Overall: 0 / 244 questions answered Question 126 / 244 Not answered At a preventive-care consultation: a 42-year-old man is evaluated for rest pain with tissue loss in the context of hypertension. Which is the most appropriate next investigation? A. Ankle-brachial index B. CT angiography C. Carotid duplex imaging D. Duplex arterial ultrasound E. Duplex venous ultrasound Show Answer & Explanation Correct Answer: A Explanation: Ankle-brachial index is the most appropriate next test because it directly clarifies the leading diagnosis and guides immediate management in Vascular Surgery. Reference: ESVS Clinical Practice Guidelines Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 127 / 244 Not answered During ward handover: a 41-year-old man is evaluated for rest pain with tissue loss in the context of advanced age. Which is the most appropriate next investigation? A. CT angiography B. Carotid duplex imaging C. Duplex venous ultrasound D. Duplex arterial ultrasound E. Urgent vascular examination with Doppler Show Answer & Explanation Correct Answer: E Explanation: Urgent vascular examination with Doppler is the most appropriate next test because it directly clarifies the leading diagnosis and guides immediate management in Vascular Surgery. Reference: AHA/ACC PAD Guideline; Vascular Surgery topic-specific current guideline update Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 128 / 244 Not answered During a primary-care follow-up visit: a 72-year-old man has rest pain with tissue loss with risk profile of hypertension. After initial stabilization and assessment, what is the most appropriate management step? A. Structured limb salvage pathway B. Revascularization planning when indicated C. Emergency vascular referral D. Aneurysm surveillance or intervention by threshold E. Risk-factor modification and antiplatelet therapy Show Answer & Explanation Correct Answer: A Explanation: Structured limb salvage pathway is preferred because it aligns with guideline-based care priorities, reduces avoidable complications, and supports safe outcomes in Vascular Surgery. Reference: ESVS Clinical Practice Guidelines Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 129 / 244 Not answered During a primary-care follow-up visit: a 58-year-old man presents with unilateral leg swelling and pain. Relevant risk context includes diabetes. What is the most likely diagnosis? A. Acute limb ischemia B. Peripheral arterial disease claudication C. Abdominal aortic aneurysm concern D. Critical limb-threatening ischemia E. Deep venous thrombosis Show Answer & Explanation Correct Answer: C Explanation: The pattern of unilateral leg swelling and pain with risk factors such as diabetes is most consistent with Abdominal aortic aneurysm concern. This answer best matches the expected diagnostic framework for Vascular Surgery. Reference: ESVS Clinical Practice Guidelines Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 130 / 244 Not answered During ward handover: a 53-year-old woman is evaluated for rest pain with tissue loss in the context of diabetes. Which is the most appropriate next investigation? A. Carotid duplex imaging B. Urgent vascular examination with Doppler C. Duplex venous ultrasound D. CT angiography E. Ankle-brachial index Show Answer & Explanation Correct Answer: E Explanation: Ankle-brachial index is the most appropriate next test because it directly clarifies the leading diagnosis and guides immediate management in Vascular Surgery. Reference: NICE VTE Guidance; Vascular Surgery topic-specific current guideline update Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Cancel « ← Previous Page 26 of 49 Next → »