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Asymptomatic carotid bruit — USMLE Step 3 MCQ

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ModerateAmbulatory Medicine / Primary CareAsymptomatic carotid bruitUSMLE Step 3

A 70-year-old man has a soft right carotid bruit found during a routine visit. He has no history of TIA or stroke. He takes a statin and has controlled blood pressure. Which of the following is the most appropriate next step in management?

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Correct answer: C — Continue intensive medical risk-factor management

Asymptomatic carotid bruit alone is managed with cardiovascular risk reduction; intervention decisions require imaging and high-grade stenosis assessment.

Reference: AHA/ASA stroke prevention guidance