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General Surgery · Vascular surgery: chronic venous disease
Sample itemA venous leg ulcer is most commonly located where?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Medial gaiter area near the medial malleolus
Venous ulcers occur in the gaiter region, especially near the medial malleolus, with oedema and skin pigmentation. Arterial ulcers are more distal and painful.
Option by option
A. Over the patella
Patellar ulcers are not typical venous ulcers.
B. Medial gaiter area near the medial malleolus (correct)
Correct. Medial gaiter distribution is characteristic.
C. Tips of the toes
Toe ulcers suggest arterial insufficiency.
D. Lateral heel only
Heel ulcers may be pressure related.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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