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Screening for Vascular Disease in a Former Smoker

Screening for Vascular Disease in a Former Smoker

As part of his preparation for retirement, a 66-year-old executive undergoes a complete physical examination. He is in good health and has no symptoms to report. Along with other age-appropriate screening studies, you discuss testing for vascular disease with him.

The patient has had mild hypertension for about 10 years; it is currently well controlled with a low-dose angiotensin-converting enzyme inhibitor. He consumes 1 or 2 drinks daily. He does not smoke but was a half-pack to pack-a-day smoker when he was younger.

His weight is normal for his age and body habitus. Physical findings, including blood pressure, are all within normal limits.

A hemogram, blood chemistry results, ECG, and chest radiograph are all normal.

Which of the following statements is correct?

A. A one-time screening for abdominal aortic aneurysm (AAA) by CT scanning is indicated now.
B. AAA screening has been effectively performed by your careful abdominal examination in this non-obese man.
C. A one-time screening for AAA by ultrasonography is indicated now.
D. If an AAA is detected, he will require surgery for repair.


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