Vascular Surgery · NEET PG Preparation Surgery
A 72-year-old heavy smoker presents with an asymptomatic pulsatile abdominal mass detected during a routine physical examination. An abdominal ultras…
Practice question from Vascular Surgery (NEET PG Preparation Surgery), with the correct answer and a step-by-step solution.
easy · MCQ · Q-5855F4
A 72-year-old heavy smoker presents with an asymptomatic pulsatile abdominal mass detected during a routine physical examination. An abdominal ultrasound confirms an infrarenal abdominal aortic aneurysm (AAA) measuring 5.8 cm in maximum diameter. What is the standard management for this patient?
- A.Strict blood pressure control and ultrasound surveillance every 6 months
- B.Immediate open surgical repair or endovascular aneurysm repair (EVAR)Correct answer
- C.Prescription of antiplatelet agents and statins with lifestyle modification only
- D.Therapeutic anticoagulation with low-molecular-weight heparin
Solution
For an asymptomatic infrarenal abdominal aortic aneurysm (AAA) cm in men (or cm in women, or rapidly expanding cm in 6 months), the risk of rupture significantly outweighs the risk of elective repair. Therefore, intervention via open surgical repair or EVAR is indicated.
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