Vascular Surgery Board Exam Started: Jul 13, 2026 14:21 Page 28 of 49 Attempt #2826 Overall: 0 / 244 questions answered Question 136 / 244 Not answered During ward handover: a 26-year-old woman presents with transient neurologic deficit with carotid bruit. Relevant risk context includes atrial fibrillation. What is the most likely diagnosis? A. Peripheral arterial disease claudication B. Abdominal aortic aneurysm concern C. Symptomatic carotid stenosis D. Critical limb-threatening ischemia E. Acute limb ischemia Show Answer & Explanation Correct Answer: D Explanation: The pattern of transient neurologic deficit with carotid bruit with risk factors such as atrial fibrillation is most consistent with Critical limb-threatening ischemia. This answer best matches the expected diagnostic framework for 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 Question 137 / 244 Not answered In an outpatient specialty clinic: a 82-year-old woman is evaluated for pulsatile abdominal mass in the context of hyperlipidemia. Which is the most appropriate next investigation? A. Duplex venous ultrasound B. Urgent vascular examination with Doppler C. Duplex arterial ultrasound D. Carotid duplex imaging E. Ankle-brachial index Show Answer & Explanation Correct Answer: B 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: SVS Guidelines; 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 138 / 244 Not answered During morning rounds: a 47-year-old man is evaluated for transient neurologic deficit with carotid bruit in the context of smoking. Which is the most appropriate next investigation? A. Duplex arterial ultrasound B. Ankle-brachial index C. Urgent vascular examination with Doppler D. Duplex venous ultrasound E. Carotid duplex imaging Show Answer & Explanation Correct Answer: C 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: SVS Guidelines; 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 139 / 244 Not answered In an emergency department assessment: a 28-year-old man is evaluated for pulsatile abdominal mass in the context of hypertension. Which is the most appropriate next investigation? A. Duplex venous ultrasound B. Duplex arterial ultrasound C. Ankle-brachial index D. Urgent vascular examination with Doppler E. CT angiography Show Answer & Explanation Correct Answer: B Explanation: Duplex arterial ultrasound 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 140 / 244 Not answered At a preventive-care consultation: a 36-year-old man is evaluated for calf pain on exertion relieved by rest in the context of hyperlipidemia. Which is the most appropriate next investigation? A. Urgent vascular examination with Doppler B. Carotid duplex imaging C. Ankle-brachial index D. Duplex arterial ultrasound E. Duplex venous ultrasound Show Answer & Explanation Correct Answer: A 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: 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 Cancel « ← Previous Page 28 of 49 Next → »