A 58-year-old woman with a 40-year smoking history presents with claudication in both legs that worsens with walking and improves with rest. She has diminished femoral pulses bilaterally and a bruit over the abdominal aorta. Ankle-brachial indices are 0.65 on the right and 0.68 on the left. Which of the following is the most likely vascular lesion location?
- A)Popliteal artery only
- B)Iliac and femoral arteriesGABARITO
- C)Aortic bifurcation only
- D)Renal arteries
- E)Tibial and peroneal arteries only
Explicação
Diminished femoral pulses indicate proximal arterial disease at the iliac/femoral level. The abdominal aortic bruit, bilateral symptoms, and ABI <0.7 confirm significant peripheral arterial disease. Aortoiliac stenosis classically presents with bilateral claud... Ver explicação completa e trilha adaptativa →