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Intermittent claudication — MRCP Part 1 MCQ

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HardExercise PrescriptionIntermittent claudicationMRCP Part 1

A patient has stable intermittent claudication that limits walking but no critical limb ischaemia. Which initial functional treatment should be offered?

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Correct answer: D — Supervised exercise for two hours weekly over three months

The best answer is “Supervised exercise for two hours weekly over three months”. NICE offers a supervised exercise programme to all people with intermittent claudication, ordinarily two hours each week for three months, while cardiovascular risk is treated. Revascularisation is considered when symptoms remain lifestyle-limiting after exercise and medical therapy and imaging confirms a suitable target. Inactivity worsens function, and opioids or amputation are inappropriate.

Reference: NICE CG147, Peripheral arterial disease: https://www.nice.org.uk/guidance/cg147/chapter/Recommendations