please answer this q - sundna

[ArchivalUser]

A 64 year old man is evaluated in the clinic for moderately severe pain in his both legs for the past 6 months. He describes the pain that occurs upon standing and worse on walking. The pain is worse walking downhill and slightly less while walking uphill. He reports that the pain interferes with his activities and he has to sit for about 30 minutes each time to obtain relief from the pain. His history is significant for diabetes mellitus and chronic smoking about 1 pack per day for the past 45 years. On examination, he is afebrile and heart sounds are regular. Dorsalis pedis artery pulses are diminished bilaterally. Neurological examination is normal. Which of the following is the most appropriate next step in evaluating his pain?
A) Clopidogrel
B) Angiography
C) MRI lumbar spine
D) Ankle Brachial Index
E) Supervised Exercise

[ArchivalUser]

C,

Bi lateral, typical pain of SS with position

PAD ...pain relieve with rest, no need to wait 30 min.

[ArchivalUser]

C.