Varicose Vein OSCE Examination Quiz

Focused SBA-style practice, followed by the answer and explanation for every question.

Focused SBA-style practice, followed by the answer and explanation for every question.

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1
A 24-year-old woman has prominent varicose veins in an unusual pattern over the outer calf. Listening over the largest varicose vein, you hear a continuous whooshing bruit. What best explains this finding?
2
A 42-year-old woman is seen in a vascular clinic for troublesome varicose veins. You have noted varicose veins along the inner calf, mild skin discolouration at the ankle, and bedside tests suggesting leaky superficial veins. What is the best next investigation to confirm the underlying problem and guide treatment?
3
A 42-year-old woman has a soft lump in the right groin and visible varicose veins along the inner thigh. You place your fingers over the saphenofemoral junction and ask her to cough, and you feel an impulse. What best explains this finding?

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