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Flexor tenosynovitis — RCPSC EM MCQ

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HardMusculoskeletalFlexor tenosynovitisRCPSC EM

A patient with atrial fibrillation develops a suddenly cold pulseless leg with sensory loss and new weakness. Symptoms began three hours ago. What is the immediate management priority?

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

Reveal the answer and explanation

Correct answer: EStart IV unfractionated heparin and mobilize immediate vascular revascularization

Explanation lettering: B = shown as A · A = shown as B · D = shown as C · C = shown as D

E is correct for Rutherford IIb acute limb ischemia: motor deficit means the limb is immediately threatened and demands heparin plus urgent revascularization. A and D are outpatient delays. B is too slow for IIb disease. C elevates the limb and defers definitive restoration of flow.

Reference: Emergency Care BC, Acute Limb Ischemia: https://emergencycarebc.ca/clinical_resource/clinical-summary/acute-limb-ischemia/