Long-standing Hypertension in Surgery — 72yo Man | Vascular Surgery | SMLE Q#17976
SMLE Question #17976
Surgery
Vascular Surgery
Objective: OBJ-AAA-001
Last updated: February 2026
A 72-year-old man with long-standing hypertension and a 50-pack-year smoking history is seen in a primary care clinic. He has no abdominal or back pain, syncope, fever, or symptoms of limb ischemia. Examination shows a non-tender pulsatile abdominal mass. Abdominal ultrasound demonstrates an infrarenal abdominal aortic aneurysm measuring 4.5 cm in maximum diameter. What is the most appropriate next step in management?
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