#oldrecallmccqe1
A 70-year-old man comes to his primary care physician for his annual check-up. He has a history of hypertension, hyperlipidemia, and coronary artery disease, and had coronary artery bypass grafting 6 years ago. On examination the physician notes a right carotid bruit. Which of the following is the most appropriate next step?
(A) Carotid duplex ultrasound
(B) Carotid endarterectomy
(C) ECG
(D) Referral to a neurologist
(E) Transthoracic echocardiography
(F) Warfarin therapy
A 70-year-old man comes to his primary care physician for his annual check-up. He has a history of hypertension, hyperlipidemia, and coronary artery disease, and had coronary artery bypass grafting 6 years ago. On examination the physician notes a right carotid bruit. Which of the following is the most appropriate next step?
(A) Carotid duplex ultrasound
(B) Carotid endarterectomy
(C) ECG
(D) Referral to a neurologist
(E) Transthoracic echocardiography
(F) Warfarin therapy
