Repeated USMLE Questions Step 2 CK- 305

A 43 year old cashier visits her physician with a complaint of severe pain for 3 months and a new onset of itching in her right leg. Examination reveals multiple varicosities on the medial side the right thigh and leg and an erythematous patch on the medial side of the knee.

What is the most common precipitating factor for this condition?

A-Prolonged standing

B-Prolonged exposure to the sun

C-Excessive sweating

D-Alcohol intake

E- Strenuous exercise

Answer:

Prolonged standing is the most common precipitating factor for varicose veins. Notice that this person’s job is cashier which is usually related to prolonged standing. Other factors are not causing varicose veins.

The correct answer is A