Claudication Pharmacotherapy — USMLE Step 2 CK MCQ

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ModerateCardiologyClaudication PharmacotherapyUSMLE Step 2 CK

A 69-year-old with PAD and diabetes is offered supervised exercise therapy. What additional pharmacologic option can improve walking distance if no contraindication?

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Correct answer: A — Cilostazol

Cilostazol improves claudication walking distance; it is contraindicated in heart failure. Antiplatelets reduce events but not claudication distance; warfarin and antiarrhythmics are not indicated.

Reference: https://professional.heart.org/en/guidelines-and-statements#stage-9-order-6