Podcast
Questions and Answers
Which test is not supported for a stand-alone diagnosis of DVT?
Which test is not supported for a stand-alone diagnosis of DVT?
- Chest x-ray
- D-dimer test (correct)
- Venous ultrasound
- Ventilation perfusion scan
What is the most common presenting symptom for pulmonary embolism (PE)?
What is the most common presenting symptom for pulmonary embolism (PE)?
- Chest pain
- Cough
- Dyspnea (correct)
- Hemoptysis
In patients where CTPA is contraindicated or inconclusive, which test is typically reserved for further evaluation?
In patients where CTPA is contraindicated or inconclusive, which test is typically reserved for further evaluation?
- Ventilation perfusion scan (correct)
- Chest x-ray
- D-dimer test
- Venous ultrasound
What is the traditional normal level of D-dimer considered to be?
What is the traditional normal level of D-dimer considered to be?
What is the radioactive material used in a V/Q scan to examine airflow and blood flow in the lungs?
What is the radioactive material used in a V/Q scan to examine airflow and blood flow in the lungs?
What is the stance on routine chemical prophylaxis in foot/ankle surgery or injuries requiring immobilization?
What is the stance on routine chemical prophylaxis in foot/ankle surgery or injuries requiring immobilization?
What is the preferred exam for suspected DVT?
What is the preferred exam for suspected DVT?
Which of the following should be ordered in any case of suspected DVT?
Which of the following should be ordered in any case of suspected DVT?
When should anticoagulants be initiated in patients with suspected DVT?
When should anticoagulants be initiated in patients with suspected DVT?
Which of the following is NOT a common choice for anticoagulation in DVT?
Which of the following is NOT a common choice for anticoagulation in DVT?
Which laboratory value is recommended to assist in the diagnosis of DVT?
Which laboratory value is recommended to assist in the diagnosis of DVT?
What is the utility of a positive Homan sign in diagnosing DVT?
What is the utility of a positive Homan sign in diagnosing DVT?
Which of the following conditions could present with calf pain similar to that seen in a positive Homan sign?
Which of the following conditions could present with calf pain similar to that seen in a positive Homan sign?
When should noninvasive duplex ultrasound be ordered for suspected DVT?
When should noninvasive duplex ultrasound be ordered for suspected DVT?
What is the reported sensitivity and specificity of noninvasive duplex ultrasound in diagnosing DVT?
What is the reported sensitivity and specificity of noninvasive duplex ultrasound in diagnosing DVT?
When should D-dimer be ordered in the work-up for DVT?
When should D-dimer be ordered in the work-up for DVT?
What does a positive D-dimer test indicate?
What does a positive D-dimer test indicate?
Which of the following is not a recommended treatment for DVT according to the text?
Which of the following is not a recommended treatment for DVT according to the text?
What is the most appropriate initial anticoagulant to initiate in a patient with suspected DVT?
What is the most appropriate initial anticoagulant to initiate in a patient with suspected DVT?
What is the recommended anticoagulant therapy in DVT for patients with high risk of bleeding?
What is the recommended anticoagulant therapy in DVT for patients with high risk of bleeding?
In the context of suspected DVT, which medication should be considered based on renal status and bleeding risk?
In the context of suspected DVT, which medication should be considered based on renal status and bleeding risk?
Which medication is suggested by the American College of Chest Physicians (ACCP) 2012 guidelines for acute isolated distal DVT without severe symptoms or risk factors?
Which medication is suggested by the American College of Chest Physicians (ACCP) 2012 guidelines for acute isolated distal DVT without severe symptoms or risk factors?
Which laboratory value is commonly used to assist in diagnosing DVT, but should not be solely relied upon for diagnosis?
Which laboratory value is commonly used to assist in diagnosing DVT, but should not be solely relied upon for diagnosis?
Which type of DVT treatment does not seem to decrease the incidence of pulmonary embolism (PE) according to the text?
Which type of DVT treatment does not seem to decrease the incidence of pulmonary embolism (PE) according to the text?
When considering anticoagulation for DVT, which medication is often prescribed as a subcutaneous injection once daily?
When considering anticoagulation for DVT, which medication is often prescribed as a subcutaneous injection once daily?
In what situation are thrombolytics rarely indicated for DVT management?
In what situation are thrombolytics rarely indicated for DVT management?
Which of the following is a key consideration in determining the duration of anticoagulation treatment for a patient with DVT?
Which of the following is a key consideration in determining the duration of anticoagulation treatment for a patient with DVT?
Which of the following is not mentioned as a form of DVT treatment in the text?
Which of the following is not mentioned as a form of DVT treatment in the text?
In patients with suspected DVT, what factor besides risk assessment may influence the decision to initiate anticoagulants postoperatively?
In patients with suspected DVT, what factor besides risk assessment may influence the decision to initiate anticoagulants postoperatively?
What is the mechanism of action (MOA) of aspirin?
What is the mechanism of action (MOA) of aspirin?
Which of the following blood thinners is not supported by current evidence after foot and ankle surgery?
Which of the following blood thinners is not supported by current evidence after foot and ankle surgery?
What is the dosage for Aspirin after foot and ankle surgery?
What is the dosage for Aspirin after foot and ankle surgery?
Which of the following is a potential benefit of Low Molecular Weight Heparin (LMWH) over Unfractionated Heparin (UFH)?
Which of the following is a potential benefit of Low Molecular Weight Heparin (LMWH) over Unfractionated Heparin (UFH)?
What is the main benefit of Low Molecular Weight Heparin (LMWH) over Unfractionated Heparin (UFH)?
What is the main benefit of Low Molecular Weight Heparin (LMWH) over Unfractionated Heparin (UFH)?
What is one potential complication of using Unfractionated Heparin (UFH)?
What is one potential complication of using Unfractionated Heparin (UFH)?
Which anticoagulant has been almost completely replaced by other agents due to its interactions and requirements?
Which anticoagulant has been almost completely replaced by other agents due to its interactions and requirements?
What is the main benefit of using Low Molecular Weight Heparin (LMWH) over Unfractionated Heparin (UFH) according to the text?
What is the main benefit of using Low Molecular Weight Heparin (LMWH) over Unfractionated Heparin (UFH) according to the text?
When LMWH therapy is considered following foot or ankle surgery, according to the AOFAS consensus panel, when should therapy typically begin?
When LMWH therapy is considered following foot or ankle surgery, according to the AOFAS consensus panel, when should therapy typically begin?
In which situation would an IVC filter, specifically a Greenfield filter, be considered for patients undergoing foot and ankle surgery?
In which situation would an IVC filter, specifically a Greenfield filter, be considered for patients undergoing foot and ankle surgery?
What chemoprophylaxis option is recommended when LMWH injections are not feasible for outpatient use after foot or ankle surgery?
What chemoprophylaxis option is recommended when LMWH injections are not feasible for outpatient use after foot or ankle surgery?
What distinguishes full anticoagulation from prophylactic anticoagulation in the context of DVT management?
What distinguishes full anticoagulation from prophylactic anticoagulation in the context of DVT management?
Which anticoagulant agent has almost completely replaced warfarin due to interactions and monitoring requirements?
Which anticoagulant agent has almost completely replaced warfarin due to interactions and monitoring requirements?
What is a significant consideration in determining the duration of chemoprophylaxis treatment for a patient diagnosed with DVT?
What is a significant consideration in determining the duration of chemoprophylaxis treatment for a patient diagnosed with DVT?
What is a key consideration for determining the duration of anticoagulation treatment for a patient with DVT?
What is a key consideration for determining the duration of anticoagulation treatment for a patient with DVT?
In the context of DVT treatment, which of the following statements is most accurate regarding prophylaxis?
In the context of DVT treatment, which of the following statements is most accurate regarding prophylaxis?
When considering the work-up for a suspected DVT, which exam is NOT mentioned as part of the common choices?
When considering the work-up for a suspected DVT, which exam is NOT mentioned as part of the common choices?
What is a potential drawback of using warfarin for DVT treatment?
What is a potential drawback of using warfarin for DVT treatment?
In the context of suspected DVT, which statement about ultrasound is NOT accurate?
In the context of suspected DVT, which statement about ultrasound is NOT accurate?
When should prophylaxis for DVT ideally be initiated in patients undergoing foot and ankle surgery?
When should prophylaxis for DVT ideally be initiated in patients undergoing foot and ankle surgery?
Which of the following is a significant factor in determining the duration of anticoagulation treatment for a patient with DVT?
Which of the following is a significant factor in determining the duration of anticoagulation treatment for a patient with DVT?
What is a potential benefit of Low Molecular Weight Heparin (LMWH) over Unfractionated Heparin (UFH) in DVT treatment?
What is a potential benefit of Low Molecular Weight Heparin (LMWH) over Unfractionated Heparin (UFH) in DVT treatment?
In the context of DVT treatment, which medication is often associated with a heparin bridge?
In the context of DVT treatment, which medication is often associated with a heparin bridge?
What is a common misconception regarding the use of thrombolytics in DVT management?
What is a common misconception regarding the use of thrombolytics in DVT management?
Which of the following is NOT a common choice for anticoagulation in DVT according to the text?
Which of the following is NOT a common choice for anticoagulation in DVT according to the text?
What is a key consideration in determining the appropriate prophylaxis for foot and ankle surgery or injuries requiring immobilization?
What is a key consideration in determining the appropriate prophylaxis for foot and ankle surgery or injuries requiring immobilization?
