QuestionSBA
QuestionChoice
This is a type of revascularisation which is recommended if there is severe pain that disrupts activities of daily living. It involves a blocked artery being widened by inflating a small balloon within the vessel. This patient does not require this currently as their pain is tolerable. Revascularisation is usually performed in severe disease and if other management options have not worked.
10003663
c
Angioplasty
QuestionChoice
Blood thinners are prescribed to patients with peripheral arterial disease to reduce the risk of blood clots, however, this would be prescribed after lifestyle management has been attempted.
10003662
b
Prescribe clopidogrel
QuestionChoice
Lifestyle management is the best management for this patient as they are experiencing symptoms of peripheral arterial disease and have an ABPI of 0.8. They also have modifiable risk factors such as smoking and increased weight which, once managed, should reduce their symptoms.
10003661
a
Provide guidance on smoking cessation and weight loss
QuestionChoice
The patient should be advised to modify their lifestyle by stopping smoking and reducing their weight through a healthy diet and regular exercise. Doing nothing would be a mistake as they have signs and symptoms of peripheral arterial disease: buttock and thigh pain when walking and an ABPI of 0.8.
10003665
e
Do nothing
QuestionChoice
This is a type of revascularisation which is recommended if there is severe pain that disrupts activities of daily living. It involves blood vessels being taken from another part of the body and being used to bypass the blockage in the culprit artery. This patient does not require this currently as their pain is tolerable. Revascularisation is usually performed in severe disease and if other management options have not worked.
10003664
d
Artery bypass graft
Concept
Chapter
2693
4187
Peripheral arterial disease
Topic
179
Vascular Surgery
13279
A 62-year-old man who is overweight and a smoker presents to the GP with pain in his buttocks and thighs while walking, which is relieved by rest. He has a past medical history of diabetes and stable angina.

On examination, his lower extremities appear normal and his ABPI reading is 0.8.

What is the most appropriate management for this patient?
a