This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Surgery
Which of the following is the first treatment of choice in a case of rupture of varicose veins at the ankle ? 
Select and explain. 
A. Rest in prone position of patient, B. Application of a tourniquet proximally, C. Application of a tourniquet distally, D. Direct Pressure and Elevation
D: Direct Pressure and Elevation
Answer: D: Direct Pressure and Elevation 
Explanation: Rupture of varicose vein is not a life threatening condition. If it ruptures bleeding is controlled by direct pressure and elevation of the area. Ref: Current Medical Diagnosis and Treatment 2012, Chapter 12; 2. ECG: Practical Applications Pocket Reference Guide By Kathryn Lewis, Page 70