A 70-year-old man with tobacco use comes for preventive care. He has smoked 1.5 packs daily for 40 years and still smokes. He has no abdominal pain.

Question

A 70-year-old man with tobacco use comes for preventive care. He has smoked 1.5 packs daily for 40 years and still smokes. He has no abdominal pain. Blood pressure is 132/78 mm Hg and examination reveals no pulsatile mass. Which of the following is the most appropriate screening recommendation?

Accepted Answer

One-time abdominal aortic aneurysm screening with ultrasonography

Answer

Annual CT angiography of the abdomen

Answer

Screening after abdominal pain develops

Answer

No screening because examination is normal

Answer

MRI angiography every 5 years

Abdominal aortic aneurysm screening — USMLE Step 3 MCQ

A 70-year-old man with tobacco use comes for preventive care. He has smoked 1.5 packs daily for 40 years and still smokes. He has no abdominal pain. Blood pressure is 132/78 mm Hg and examination reveals no pulsatile mass. Which of the following is the most appropriate screening recommendation?