skip to main content

Chronic venous insufficiency — USMLE Step 3 MCQ

Instant feedback + full explanation. One question, done properly.

ModerateAmbulatory Medicine / Primary CareChronic venous insufficiencyUSMLE Step 3

A 69-year-old woman has bilateral ankle edema that worsens during the day and improves with leg elevation. She has hyperpigmentation around the medial ankles and varicose veins. Lungs are clear and BNP is normal. Which of the following is the most likely diagnosis?

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

Reveal the answer and explanation

Correct answer: E — Chronic venous insufficiency

Dependent edema with stasis dermatitis and varicosities is most consistent with chronic venous insufficiency.

Reference: Society for Vascular Surgery venous disease guidance