MRCS PART A · VASCULAR SURGERY

Vascular & limb-threat decisions

Assess perfusion. Recognise changing function. Reassess the threat.

Examination practice · 6 fictional adult patients · session-only progress · no patient information

Choose a patient

Patient 1 / 60 completed

A suddenly cold, painful foot

A 72-year-old develops severe left-foot pain while sitting at home. They arrive three hours later. Choose the information that determines whether a routine imaging queue is safe.

1. Choose the information you need

Only one answer opens at a time. Questions do not alter the patient's facts. In a real emergency, assessment and escalation run together.

2. Which next action best fits the available evidence?A. Wait until tomorrow for duplex because a venous signal remainsB. Arrange immediate vascular assessment for a threatened limb, supportive care and anticoagulation when appropriate; coordinate imaging without delaying revascularisationC. Use a D-dimer to decide whether vascular referral is neededD. Start supervised walking exercises before deciding on imagingE. Assume AF proves an embolus and select a procedure without assessing the limb

Sources and scope

Guidance checked. Independent MRCS practice, not official exam material or a bedside protocol. Verify current guidance and local emergency procedures. Doses and techniques not specified here need competent clinical prescribing and assessment.

ESVS — acute limb ischaemia guideline