Inpatient vs Outpatient Management Decision Making Quiz

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What is the main consideration for deciding inpatient versus outpatient management in patients with DVT?

Presence of massive DVT such as iliofemoral DVT

Concurrent symptomatic pulmonary embolism (PE) (correct)

Comorbid conditions or other factors warranting in-hospital care

High risk of bleeding on anticoagulant therapy

Which anticoagulant therapy is recommended for the treatment of DVT in most situations?

Eliquis

LMWH or heparin (correct)

Coumadin with heparin bridge

Thrombolytics

What is the current role of thrombolytics in the management of DVT?

Rarely indicated (correct)

Decrease risk of developing postphlebitic syndrome

Preserve venous valves

Increase incidence of PE

In the evaluation and work-up of suspected DVT, what is the recommended approach for acute isolated distal DVT without severe symptoms or risk factors?

Perform serial imaging of deep veins for 2 weeks Signup and view all the answers

What is the impact of LMWH on clinically significant VTED according to the current literature?

It significantly reduces the rate of clinically significant VTED Signup and view all the answers

Which statement accurately reflects the risk factors associated with developing VTE?

Risk is lower in the foot and ankle population compared to the hip and knee population Signup and view all the answers

Which exam is the preferred initial imaging study for suspected DVT?

Venous duplex ultrasound Signup and view all the answers

What is the recommended pharmacological intervention for patients with suspected DVT?

Lovenox Signup and view all the answers

Which laboratory value is particularly useful in the work-up of suspected DVT?

D-dimer Signup and view all the answers

What factors should be considered when discussing anticoagulation plans for a patient with risk factors for DVT?

Type of surgery being performed Signup and view all the answers

Which of the following medications is commonly used for pre-operative prophylaxis against DVT?

Xarelto 10mg PO once daily Signup and view all the answers

What should be done based on the need for NWB postoperatively in addition to risk factors for DVT?

Discuss plans for anticoagulation Signup and view all the answers

What is the most appropriate prophylactic strategy for preventing VTE in foot and ankle surgery patients?

Mechanical prophylaxis only Signup and view all the answers

Which anticoagulant has a shorter half-life and can be reversed with protamine sulfate?

Unfractionated Heparin (UFH) Signup and view all the answers

What is the recommended therapy duration if considering LMWH following a foot or ankle surgery?

Begin therapy when immobilization starts and continue for the duration of immobilization Signup and view all the answers

Which of the following anticoagulants requires routine INR monitoring?

Warfarin Signup and view all the answers

When is the use of IVC filters considered for VTE prophylaxis in foot and ankle surgery patients?

If there are contraindications to chemical prophylaxis Signup and view all the answers

Which prophylactic strategy is generally reserved for patients who have developed a DVT or PE?

Full anticoagulation with LMWH Signup and view all the answers

What is the recommended dosage for Lovenox (enoxaparin) for subcutaneous injection once daily?

40mg Signup and view all the answers

Which factor enhances the inhibition of thrombin (II) and Xa, IXa, XIa, XIIa by unfractionated heparin (UFH)?

Antithrombin III Signup and view all the answers