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Wernicke encephalopathy — ABIM Board MCQ

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HardNeurologyWernicke encephalopathyABIM Board

A 68-year-old with symptomatic femoropopliteal PAD completes supervised exercise therapy and receives antiplatelet and lipid-lowering treatment. He still has lifestyle-limiting claudication that prevents work despite adherence. What is the appropriate next management direction?

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Correct answer: C — Refer for vascular evaluation to consider revascularization options

Revascularization can be considered for functionally limiting claudication that persists despite guideline-directed medical therapy and structured exercise. It follows, rather than replaces, initial risk reduction and exercise-based treatment.

Reference: 2024 ACC/AHA PAD Guideline: https://www.ahajournals.org/doi/full/10.1161/CIR.0000000000001251