QuestionSBA
QuestionChoice
Only patients with abdominal aortic aneurysm diameters <3cm can be discharged with no further action.
10001451
e
No further action
QuestionChoice
This is good advice for patients who smoke, but may only impact the growth in a low rupture-risk patient. It is more important that the patient undergoes surgery within 2 weeks to prevent rupture.
10001450
d
Smoking cessation advice
QuestionChoice
Medium aneurysms (4.5-5.4cm) are normally rescanned every 3 months as a part of the screening programme. However, the diameter of this man's abdominal aorta has increased by >1cm within a year, so the patient has a high rupture risk and must be treated.
10001448
b
Repeat ultrasound in 3 months
QuestionChoice
This patient has a high rupture risk because his abdominal aorta is rapidly enlarging and has increased by >1cm within a year. Therefore, this patient must be treated with EVAR or open repair despite being asymptomatic.
10001447
a
Urgent 2-week referral to vascular surgery for intervention
QuestionChoice
The diameter of the abdominal aorta has increased by >1cm within a year, so the patient has a high rupture risk and must be treated.
10001449
c
Repeat ultrasound in 12 months
Concept
Chapter
2693
3931
abdominal aortic aneurysms
Topic
179
Vascular Surgery
12836
A 65-year-old patient attends his abdominal aortic aneurysm monitoring appointment. 12 months ago, his abdominal aortic aneurysm diameter measured 4.2cm, today it measures 5.3cm. He has a 25-pack-year smoking history. His vital signs are normal and he is well in himself.

Which of the following is the most appropriate management?
a