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Peripheral Arterial Disease — UKMLA MCQ

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HardCardiologyPeripheral Arterial DiseaseUKMLAMRCGP AKTPARA

A patient with intermittent claudication has confirmed peripheral arterial disease but no critical limb ischaemia. Which initial management offers the best functional and cardiovascular benefit?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Supervised exercise plus secondary prevention

The best answer is “Supervised exercise plus secondary prevention”. A supervised exercise programme improves walking distance and is first-line for intermittent claudication, alongside comprehensive secondary prevention. Revascularisation is considered for continuing lifestyle-limiting symptoms after exercise and medical optimisation; anticoagulation, NSAIDs and inactivity do not address the disease appropriately.

Reference: NICE CG147: Peripheral arterial disease: https://www.nice.org.uk/guidance/cg147/chapter/Recommendations