[obinocle]

A 36 yr old woman comes to the physician because of large "lumpy" surface veins in her legs. she works as a retail clerk and stands all day. Her Heart rate is 86/min and blood pressure is 125/88 mmhg. she is 5 feet inches tall and weighs 175lb (79.5kg). As a part pf her weight-loss program, she has been jogging 2miles each day for the past 2 months . Which of the following is most likely to worsen this patient's varicose veins?
a) Chronically high venous pressure in the Legs
b) Excessive jogging on a hard surface
c) hypertension
d) obesity
e) Tachycardia

 

[venky2600]

i'll go with B) extensive jogging on hard surface..
generally exercise worsen varicosities

 

[Doc4Step1]

I will go with A) Chronically standing for long time...Blood will pool in the veins of lower extremities and worsen the varicose veins.

 

[step1success]

- I think its A....anything related to a chronic increase in lower extremity venous pressure would worsen the varicose veins.

let us the know the correct

 

[Ergo Proxy]

Varicose Vein
dilated superficial veins due to chronically increased venous pressure
MC due to increased venous pressure > obesity

may exhibit signs of skin ulcers around the torturous path of superficial vein

 

[MedicalExaminer]

For her height she is too heavily overweight-BMI approximately 35 so im gonna choose obesity

 

[dr.nitowl]

a)chronic high v.press....

 

[Casandra]

my answer

a) Chronically high venous pressure in the Legs

 

[dockhi]

Why not Obesity? Is this from Kaplan?

 

[obinocle]

the ans..

Sorry for the late Response.
This question is from kaplan... i don't have time to post the whole s**t from the explanation so i'll just leave the important points. The Ans is choice A

The only common significant contributing factor to varicose vein formation is chronically high venous pressure in the legs Typical to prolonged standing.
Only very SEVERE Obesity choice D might be expected to compress the veins in the abdomen sufficiently to increase venous pressure in the legs.

 

[koolkiller88]

a) Chronically high venous pressure in the Legs

Long standing jobs.

 

[koolkiller88]

Long standing jobs.

Oh sorry...Answer already given.

 

[charmingskinus]

Ans

I will go with A)