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Venous stasis ulcer — USMLE Step 3 MCQ

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ModerateSurgery (post-operative, follow-up)Venous stasis ulcerUSMLE Step 3

A 70-year-old woman has a shallow irregular ulcer above the medial malleolus with surrounding hyperpigmentation and edema. Pedal pulses are present and ABI is 1.0. There is no cellulitis. Which of the following is the most appropriate next step in management?

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

Reveal the answer and explanation

Correct answer: E — Apply compression therapy and wound care

Venous stasis ulcers with adequate arterial supply are treated with compression and local wound care.

Reference: Society for Vascular Surgery Venous Ulcer Guideline