Vascular Surgery Board Exam Started: Jul 13, 2026 13:32 Page 29 of 49 Attempt #2771 Overall: 0 / 244 questions answered Question 141 / 244 Not answered In an emergency department assessment: a 33-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. Ankle-brachial index B. CT angiography C. Duplex arterial ultrasound D. Carotid duplex imaging 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 142 / 244 Not answered At a multidisciplinary case conference: a 57-year-old man presents with calf pain on exertion relieved by rest. Relevant risk context includes atrial fibrillation. What is the most likely diagnosis? A. Deep venous thrombosis B. Critical limb-threatening ischemia C. Abdominal aortic aneurysm concern D. Symptomatic carotid stenosis E. Peripheral arterial disease claudication Show Answer & Explanation Correct Answer: B Explanation: The pattern of calf pain on exertion relieved by rest 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: 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 143 / 244 Not answered During ward handover: a 43-year-old man is evaluated for calf pain on exertion relieved by rest in the context of hypertension. Which is the most appropriate next investigation? A. Ankle-brachial index B. Urgent vascular examination with Doppler C. CT angiography D. Carotid duplex imaging E. Duplex venous ultrasound 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: 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 144 / 244 Not answered During a primary-care follow-up visit: a 67-year-old man is evaluated for calf pain on exertion relieved by rest in the context of advanced age. Which is the most appropriate next investigation? A. CT angiography B. Ankle-brachial index C. Urgent vascular examination with Doppler D. Duplex arterial ultrasound E. Duplex venous ultrasound Show Answer & Explanation Correct Answer: E Explanation: Duplex venous ultrasound 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 145 / 244 Not answered During ward handover: a 32-year-old woman presents with calf pain on exertion relieved by rest. Relevant risk context includes hypertension. What is the most likely diagnosis? A. Peripheral arterial disease claudication B. Deep venous thrombosis C. Symptomatic carotid stenosis D. Acute limb ischemia E. Abdominal aortic aneurysm concern Show Answer & Explanation Correct Answer: A Explanation: The pattern of calf pain on exertion relieved by rest with risk factors such as hypertension is most consistent with Peripheral arterial disease claudication. This answer best matches the expected diagnostic framework for 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 Cancel « ← Previous Page 29 of 49 Next → »