MRCP UK EXAMINATIONS

CARDIOLOGY

MITRAL REGURGITATION

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Which is not a physical exam finding of peripheral artery disease?
A
Clubbing of fingernails
B
Shiny, hairless legs
C
Intermittent claudication
D
Thin, brittle fingernails
Explanation: 

Detailed explanation-1: -The classic 5 P’s: pulselessness, pain, pallor, paresthesia and paralysis should trigger the possibility of acute limb ischemia.

Detailed explanation-2: -Essential to the physical examination of a patient with claudication is a complete lower-extremity evaluation and pulse examination, including measurement of segmental pressures (see the image below). Atrophy of calf muscles, loss of extremity hair, and thickened toenails are clues to underlying PAOD.

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