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Step 3 ccs/consults?

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Just did a question on uworld where patient needs a endarterectomy. I consulted vascular surgery but they said no recommendations at this time, even after getting a carotid ultrasound. I was reading up on previous threads and not sure what the right move is.

On the real test, am I supposed to proceed with the endarterectomy if the consultant doesn't give any recommendations, or are they always supposed to give a recommendation if you sequence everything correctly on the real thing?

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