15-year Type 2 Diabetes in Medicine / Internal Medicine — 60yo Man | Cardiology | SMLE Q#11796

SMLE Question #11796

Medicine / Internal Medicine Cardiology

Objective: OBJ-163

Last updated: February 2026
A 60-year-old man with a 15-year history of type 2 diabetes mellitus, long-standing hypertension, and a 30 pack-year smoking history (quit 5 years ago) presents for routine follow-up. He has no exertional leg pain, rest pain, or nonhealing ulcers and walks several blocks without limitation. Examination shows warm, intact feet; dorsalis pedis and posterior tibial pulses are slightly reduced but palpable bilaterally. Which single noninvasive test is most appropriate to screen for peripheral artery disease in this asymptomatic high-risk patient?

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