A 64-year-old man has calf pain after walking 2 blocks that resolves with rest. He smokes and has diabetes. Dorsalis pedis pulses are diminished,

Question

A 64-year-old man has calf pain after walking 2 blocks that resolves with rest. He smokes and has diabetes. Dorsalis pedis pulses are diminished, ankle-brachial index is 0.62 on the right, and foot skin is intact. Which of the following is the most appropriate next step?

Accepted Answer

Smoking cessation, supervised exercise therapy, antiplatelet therapy, and statin optimisation

Answer

Bed rest and leg elevation

Answer

Prednisone therapy

Answer

Lumbar spine MRI

Answer

Venous duplex ultrasonography

Peripheral artery disease — ABFM Board MCQ

A 64-year-old man has calf pain after walking 2 blocks that resolves with rest. He smokes and has diabetes. Dorsalis pedis pulses are diminished, ankle-brachial index is 0.62 on the right, and foot skin is intact. Which of the following is the most appropriate next step?