A 68-year-old man with diabetes and smoking history has calf pain after walking two blocks that resolves with rest. Dorsalis pedis pulses are reduced

Question

A 68-year-old man with diabetes and smoking history has calf pain after walking two blocks that resolves with rest. Dorsalis pedis pulses are reduced and ankle-brachial index is 0.72. He has no rest pain or tissue loss. Which of the following is the most appropriate next step in management?

Accepted Answer

Start supervised exercise therapy and antiplatelet plus statin therapy

Answer

Recommend bed rest to prevent ischemia

Answer

Order venous ablation

Answer

Schedule urgent amputation

Answer

Treat with warfarin monotherapy

Peripheral artery disease — USMLE Step 3 MCQ

A 68-year-old man with diabetes and smoking history has calf pain after walking two blocks that resolves with rest. Dorsalis pedis pulses are reduced and ankle-brachial index is 0.72. He has no rest pain or tissue loss. Which of the following is the most appropriate next step in management?