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Peripheral arterial disease — USMLE Step 3 MCQ

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ModerateInternal Medicine (chronic management)Peripheral arterial diseaseUSMLE Step 3

A 67-year-old man with diabetes has exertional calf pain relieved by rest. 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?

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

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Correct answer: AStart supervised exercise therapy and antiplatelet/statin risk reduction

Claudication from PAD is initially treated with exercise therapy and cardiovascular risk reduction unless limb-threatening ischemia is present.

Reference: AHA/ACC peripheral artery disease guideline