Practice Quiz

CMC Cardiac Medicine Certification

Category - CMC

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A 65-year old male with family history of abdominal aortic aneurysm was diagnosed to have aneurysm in the abdominal aorta of 3.5 cm diameter during routine screening. The nurse is explaining to this patient about the regular follow up. What should be explained to the patient by the attending nurse?
  1. Immediately undergo surgical correction of the aneurysm
  2. Risk factor modification and regular screening. Risk factor modifications which may help are smoking cessation, exercise, lowering of cholesterol, control of hypertension.
  3. There is nothing to worry about and nothing to do for aneurysm
  4. Undergo regular screening only
Explanation
Answer- B - The nurse should explain to the patient that his aneurysm is not very large and does not need surgical correction at this stage. He should undergo regular follow up on a yearly basis. Risk factor modification may help to retard the progression of aneurysm. For patients with an abdominal or thoracic aortic aneurysm with a diameter less than 3 cm without symptoms, follow-up screening should be conducted within 5 to 10 years. For patients with an aorta of 3 to 4 cm in diameter, follow-up screening should be performed on a yearly basis.
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