Vascular Surgery Board Exam Started: Jul 13, 2026 03:31 Page 9 of 49 Attempt #1863 Overall: 0 / 244 questions answered Question 41 / 244 Not answered A 75-year-old smoker has a 5.5 cm AAA found on ultrasound. Most appropriate management: A. Observation every 6 months B. Immediate surgical repair C. Endovascular repair D. Medical management only E. Anticoagulation Show Answer & Explanation Correct Answer: B Explanation: AAA >5.5 cm have high rupture risk and warrant surgical repair regardless of symptoms. Reference: Society for Vascular Surgery 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 42 / 244 Not answered In an emergency department assessment: a 31-year-old woman has pulsatile abdominal mass with risk profile of advanced age. After initial stabilization and assessment, what is the most appropriate management step? A. Risk-factor modification and antiplatelet therapy B. Aneurysm surveillance or intervention by threshold C. Immediate anticoagulation when not contraindicated D. Emergency vascular referral E. Revascularization planning when indicated Show Answer & Explanation Correct Answer: C Explanation: Immediate anticoagulation when not contraindicated 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 43 / 244 Not answered In an outpatient specialty clinic: a 63-year-old man is evaluated for pulsatile abdominal mass in the context of atrial fibrillation. Which is the most appropriate next investigation? A. Urgent vascular examination with Doppler B. Ankle-brachial index C. CT angiography D. Carotid duplex imaging E. Duplex arterial 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 Question 44 / 244 Not answered A 65-year-old smoker with claudication has ankle-brachial index of 0.65. Most appropriate initial management: A. Exercise rehabilitation and smoking cessation B. Immediate revascularization C. Anticoagulation therapy D. Amputation planning E. Observation only Show Answer & Explanation Correct Answer: A Explanation: Supervised exercise rehabilitation and risk factor modification are first-line; revascularization is reserved for symptoms limiting daily activities. Reference: American College of Cardiology 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 45 / 244 Not answered During morning rounds: a 40-year-old man is evaluated for unilateral leg swelling and pain in the context of atrial fibrillation. Which is the most appropriate next investigation? A. CT angiography B. Duplex venous ultrasound C. Carotid duplex imaging D. Duplex arterial ultrasound E. Urgent vascular examination with Doppler Show Answer & Explanation Correct Answer: C Explanation: Carotid duplex imaging 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 9 of 49 Next → »