This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: NEET Jan 2020, Subject name: Medicine
A patient is on follow up for recurrent abdominal pain. USG revels Aoic aneurysm of 40 mm. What should be the next immediate step? 
Select and explain. 
A. Immediate surgery, B. Observe till it reaches 70 mm and then do surgery, C. Medical therapy with beta blocker, D. Wait and watch
A: Immediate surgery
Answer: A: Immediate surgery 
Explanation: Aoic aneurysm Indications of repair Diameter is >= 5.5 cm Symptomatic aneurysms - Operative repair of the aneurysm with inseion of a prosthetic graft or endovascular placement of an aoic stent graft is indicated for abdominal aoic aneurysms of any size that are expanding rapidly or are associated with symptoms.