Dermatomyositis — RACP Adult Medicine MCQ
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Correct answer: E — Refer for elective EVAR assessment by the vascular service
Explanation lettering: D = shown as A · C = shown as B · B = shown as C · A = shown as D
E is correct. The aneurysm exceeds the usual elective threshold and the patient has favourable anatomy plus increased open-surgical cardiac risk, making EVAR an important multidisciplinary option after shared discussion of durability and surveillance. A risks rupture. B is not an emergency. C overstates cardiac contraindication. D ignores the lower early physiological burden of EVAR and patient preference.
Reference: Australian and New Zealand Society for Vascular Surgery, Abdominal aortic aneurysm: https://anzsvs.org.au/patient-information/abdominal-aortic-aneurysm/