Study Questions: Chapter 11

Chapter 11: Peripheral Artery Disease: Medical Treatment and Risk Reduction Strategies

TRACIE C. COLLINS, MD, MPH

Study Questions : Chapter 11

* 1.) What are the most important risk factors for PAD?
* 2.) What is the expected percentage improvement in peak exercise performance in patients with claudication treated with supervised walking therapy?
* 3.) Based on results from the CLaudication: Exercise Versus Endoluminal Revascularization (CLEVER) trial, which of the following therapies is superior in improving quality of life for patients with aortoiliac occlusive disease?
* 4.) Which of the following treatments is most efficacious for smoking cessation in patients with PAD?
* 5.) A 62-year-old waste management worker was recently diagnosed with PAD based on exertional calf symptoms at 3 blocks, and an ankle-brachial index of 0.80 and 0.72 of the right and left leg, respectively. His symptoms limit his ability to work.

He has the following risk-factor profile: a 25-pack-year smoking history; hypertension, with an office blood pressure of 142/98, on hydrochlorothiazide; and hyperlipidemia, with an LDL 110, on simvastatin, 20 mg daily. He has normal renal function and a normal ejection fraction. In addition to smoking cessation, which of the following is a reasonable next step in his management?