CME Certified Federal Medical Examiner

Category - Risk Assessment

The overall detection rate for abdominal aortic aneurysm (AAA) is 31%. Which of the following factors are likely to hinder detection during an examination?
  1. The driver’s age
  2. A history of clinical depression
  3. A history of migraines
  4. Obesity
Explanation
Answer: D - Obesity can conceivably hinder the detection of an AAA on examination.

The overall detection rate of AAAs during examination is 31%. Detection during a physical examination depends on aneurysm size and can frequently be affected by obesity. Clinical examination identifies approximately 90% of aneurysms greater than 6 cm.
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