4 board-style questions on peripheral arterial disease in the PulseMD family medicine question bank, written against current guidelines with the reference cited on each question. Two free samples below; the full set with answers, explanations, and spaced review is free to start.
A 67-year-old man with a 40 pack-year smoking history and type 2 diabetes presents with bilateral calf pain that occurs after walking approximately two blocks and is completely relieved by standing still for several minutes. He denies rest pain or non-healing wounds. Pedal pulses are diminished bilaterally but palpable. Feet are warm with intact skin. What is the most appropriate initial diagnostic test to confirm the suspected diagnosis?
A 65-year-old man with known peripheral arterial disease has an ABI of 0.62. He experiences left calf claudication limiting him to walking one block. His current medications include aspirin 81 mg daily, atorvastatin 80 mg daily, and lisinopril 20 mg daily. His blood pressure is 126/74 mmHg, LDL is 68 mg/dL, and HbA1c is 6.8%. He continues to smoke 10 cigarettes per day. What additional interventions would most improve his claudication symptoms?
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