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4192 Surgery

A 67 year old man with an 18 year history of type 2 diabetes mellitus presents for a routine physical examination. His temperature is 98.5 F, his blood pressure is 158/98 mm Hg and his pulse is 82/minute and regular. On examination, the physician notes a nontender, pulsatile, mass in the mid-abdomen. A plain abdominal x-ray film with the patient in the lateral position reveals spotty calcification of a markedly dilated abdominal aoic wall. The patient is taken to surgery and the abdominal aoa and proximal common iliac aeries are replaced with a graft. Which of the following aneurysm diameters is usually considered the threshold above which elective surgery is recommended, unless contraindicated by other disease?

A1 cm
B2 cm
C6 cm
D10 cm
Surgery
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