Q:

Which of the following does not describe intermittent claudication?

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Which of the following does not describe intermittent claudication?


  1. Is elicited by reproducible amount of exercise.
  2. Abates promptly with rest.
  3. Is often worse at night.
  4. May be an indication for bypass surgery.

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C. Is often worse at night.

DISCUSSION: Intermittent claudication characteristically is elicited by a relatively reproducible amount of exercise, and it is promptly relieved by cessation of that exercise. Furthermore, it is usually felt in a defined muscle group such as the calf muscles. Rest pain, indicating impending limb loss, is felt in the toes and forefoot as opposed to a muscle group, and this pain often begins at night. Claudication, when sufficiently disabling, may be an indication for revascularization, particularly if it interferes with gaining a livelihood.

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