QuestionSBA
QuestionChoice
Lying and standing blood pressure is a useful investigation when orthostatic hypotension is suspected.
10027994
d
Lying and standing blood pressure
QuestionChoice
This man has presented with symptoms of peripheral arterial disease. ECG is not the primary investigation for peripheral arterial disease and is typically performed to assess the electrical activity and function of the heart.
10027992
b
Electrocardiogram (ECG)
QuestionChoice
A duplex ultrasound scan is a non-invasive imaging test that can be used to assess the blood flow in the arteries and identify any blockages or narrowing of the blood vessels in the legs. However, it is not as readily available as an ABPI to perform in initial screening of peripheral arterial disease.
10027995
e
Duplex ultrasound
QuestionChoice
CT angiography is an advanced imaging technique that uses contrast dye and X-rays to create detailed images of blood vessels. However, it is more invasive and costly, so simple investigations like ABPI are more appropriate to perform first.
10027993
c
CT angiography
QuestionChoice
An ABPI is a non-invasive investigation used to assess blood flow to the lower extremities and diagnose peripheral arterial disease. When performed, it measures the ratio of the systolic blood pressure at the ankle to that in the arm. The score helps to determine the appropriate treatment and if a referral for specialist vascular assessment is required.
10027991
a
Ankle-Brachial Pressure Index (ABPI)
Concept
Chapter
2693
4187
Peripheral arterial disease
Topic
179
Vascular Surgery
17996
A 61-year-old man presents to the GP with a non-healing leg ulcer and crampy pain in his calf when walking uphill and downhill. The pain is relieved by rest. He has a past medical history of hypertension and hypercholesterolaemia.

Which of the following is the next best investigation?
a