Vascular Surgery Board Exam Started: Jul 13, 2026 09:06 Page 36 of 49 Attempt #2476 Overall: 0 / 244 questions answered Question 176 / 244 Not answered At a preventive-care consultation: a 82-year-old man presents with rest pain with tissue loss. Relevant risk context includes hyperlipidemia. What is the most likely diagnosis? A. Critical limb-threatening ischemia B. Peripheral arterial disease claudication C. Abdominal aortic aneurysm concern D. Deep venous thrombosis E. Symptomatic carotid stenosis Show Answer & Explanation Correct Answer: A Explanation: The pattern of rest pain with tissue loss with risk factors such as hyperlipidemia is most consistent with Critical limb-threatening ischemia. 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 177 / 244 Not answered In an emergency department assessment: a 71-year-old woman has pulsatile abdominal mass with risk profile of diabetes. After initial stabilization and assessment, what is the most appropriate management step? A. Risk-factor modification and antiplatelet therapy B. Immediate anticoagulation when not contraindicated C. Emergency vascular referral D. Structured limb salvage pathway E. Revascularization planning when indicated Show Answer & Explanation Correct Answer: C Explanation: Emergency vascular referral is preferred because it aligns with guideline-based care priorities, reduces avoidable complications, and supports safe outcomes 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 178 / 244 Not answered At a multidisciplinary case conference: a 52-year-old man is evaluated for pulsatile abdominal mass in the context of advanced age. Which is the most appropriate next investigation? A. Urgent vascular examination with Doppler B. Duplex arterial ultrasound C. Carotid duplex imaging D. CT angiography E. Ankle-brachial index Show Answer & Explanation Correct Answer: D Explanation: CT angiography 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 179 / 244 Not answered In an emergency department assessment: a 48-year-old woman is evaluated for painful pale pulseless cold limb in the context of advanced age. Which is the most appropriate next investigation? A. Ankle-brachial index B. Duplex arterial ultrasound C. Carotid duplex imaging D. CT angiography 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: 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 180 / 244 Not answered In an emergency department assessment: a 60-year-old man presents with calf pain on exertion relieved by rest. Relevant risk context includes advanced age. What is the most likely diagnosis? A. Peripheral arterial disease claudication B. Acute limb ischemia C. Critical limb-threatening ischemia D. Abdominal aortic aneurysm concern E. Deep venous thrombosis Show Answer & Explanation Correct Answer: E Explanation: The pattern of calf pain on exertion relieved by rest with risk factors such as advanced age is most consistent with Deep venous thrombosis. 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 Cancel « ← Previous Page 36 of 49 Next → »