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Question

Which one of the following is not a correct statement regarding Raynaud's disease?

The correct answer is
The lower extremity involvement is symmetrical

Raynaud's Disease: Identifying the Incorrect Statement

Raynaud's disease, also known as Raynaud's phenomenon, is a condition characterized by exaggerated vasoconstriction (narrowing of blood vessels) in response to stimuli like cold or stress. This leads to reduced blood flow to the extremities, typically fingers and toes.

Statement Analysis

  • Statement 1: It is idiopathic - This is often true for primary Raynaud's disease, where no underlying cause is identified. Thus, this statement is generally correct.
  • Statement 2: It commonly affects women - Raynaud's disease is observed more frequently in females than males. This statement is correct.
  • Statement 3: Exposure to cold precipitates vasoconstriction - Cold temperatures are a well-known trigger for the vasospastic episodes characteristic of Raynaud's disease. This statement is correct.
  • Statement 4: The lower extremity involvement is symmetrical - While Raynaud's primarily affects the fingers and toes, and involvement is often symmetrical in these digits, lower extremity involvement is less common. When it does occur, it is not necessarily characterized by the same degree of symmetry as digital involvement. Therefore, this statement is considered incorrect in the context of typical Raynaud's presentation.

Conclusion

Based on the analysis, the statement that is not correct regarding Raynaud's disease is that lower extremity involvement is symmetrical.

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Important Questions from Blood Vessels

  1. A 48-year-old smoker presents to the OPD with complaints of cramping pain in both the calves on walking to about 100-150 metres. The pain is relieved on taking rest for about 2-3 minutes and the patient is able to walk for some more distance again before the pain appears. This presentation is suggestive of
  2. Indications for carotid endarterectomy in symptomatic patients are all of the following EXCEPT:
  3. A policeman of 45 years presented with Lipodermatosclerosis over lower medial aspect of left leg, along with a healed venous ulcer. As per the CEAP (Clinical-etiology-anatomy-pathophysiology) classification his clinical classification will be:
  4. Consider the following statements regarding claudication:
    1. It is a marker for silent coronary disease
    2. Structured exercise program ( 2 hours per week for 3 months) leads to improvement in symptoms
    3. Diabetes mellitus increases the risk and severity of claudication
    4. Beta blockers may exacerbate claudication
    Which of the above statements are correct?

  5. Which of the following is NOT a symptom of atherosclerotic occlusive disease at the bifurcation of aorta (Leriche syndrome)?

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