38 Questions
Which factor would not increase the Wells Score for PE in the context of VTE risk assessment?
Heart Rate >100bpm
What is the purpose of assessing bleeding risk prior to starting anticoagulation for VTE?
To predict the risk of extension of the clot
What is considered a moderate risk of bleeding in relationship to the duration of the anticoagulation for VTE?
1 risk factor
In the context of VTE, which situation would be an indication for outpatient care rather than inpatient treatment?
Normal renal function and reliable follow-up
In the context of anticoagulation therapy for VTE, what are considered absolute contraindications to anticoagulation?
Active bleeding
When considering anticoagulant therapy for VTE, which factor should be a primary concern?
Hypercoagulable states
Why is it important to involve the patient and family in the decision-making process regarding anticoagulation therapy for VTE?
To enhance adherence to the treatment plan
What should be a significant consideration when assessing the risk of bleeding in VTE patients?
PT/INR levels
In treating an unstable PE, what should be the initial focus of management?
Initiating anticoagulant therapy
Which is a key goal of anticoagulation therapy for VTE?
Preventing extension of the clot and embolization
What is the most common preventable cause of hospital-related death?
Venous Thromboembolism (VTE)
Who is at a greater risk for VTE according to the text?
Men
When is the incidence of VTE the highest?
Post-partum period
Which group of patients have an increased risk of developing a VTE, even with prophylactic therapy?
Patients admitted to the ICU
What percentage of VTEs occur within 3 months following hospitalization?
45%
When should anticoagulation therapy be initiated for VTE?
Once a diagnosis of VTE (DVT or PE) is made, unless there are contraindications
Which condition indicates a low-risk PE allowing for treatment at home?
Clinically stable individuals with good cardiopulmonary reserve
What level of care is typically needed for intractable pain or complete venous obstruction due to DVT?
Inpatient care
Who should be anticoagulated according to the provided text?
Patients with UEDVT involving the axillary or more proximal veins
What defines 'low risk' in the context of PE treatment at home?
Clinically stable with good cardiopulmonary reserve
When can parenteral anticoagulants be started empirically in persons with an intermittent risk of VTE?
If the test results will take more than 4 hours
What is recommended for persons with a high risk of bleeding at 3 months?
Not to be anticoagulated
Why are many bleeding risk scores related to anticoagulation for patients with atrial fibrillation not necessarily applicable for VTE patients?
Different underlying conditions between the two patient populations
What is recommended for persons with a low risk of bleeding at 3 months?
To be anticoagulated
What is the general recommendation for persons with an intermittent risk of bleeding at 3 months?
Varying opinions exist
What is the most common VTE risk factor among patients undergoing major surgery?
Previous VTE
Which condition is NOT listed as a risk factor for VTE development?
Infection
Which type of thrombosis is classified as a Proximal DVT?
Popliteal vein
Which surgery duration is NOT associated with an increased risk of VTE according to the text?
< 30 minutes under local anesthesia
Which of the following conditions is part of the Virchow Triad associated with VTE development?
Vessel Damage
What is a common misconception about superficial thrombi?
They are always treated regardless of risk factors
Which type of DVT poses half the risk of causing a PE compared to proximal DVTs?
Distal DVTs
What proportion of symptomatic DVTs are typically located in the proximal veins?
80%
What is a characteristic of distal DVTs that distinguishes them from proximal DVTs?
Tendency to resolve without anticoagulation
Which physical finding is NOT commonly associated with DVT?
Fever
What percentage of distal DVTs are likely to extend to the proximal vein within the first two weeks of diagnosis?
33%
What is a common clinical finding in about 40% of DVT cases but is considered unreliable?
Homan's sign
What is characteristic of non-extending distal DVTs in relation to PEs?
They rarely cause a PE
Test your knowledge on the levels of care needed for treating Venous Thromboembolism (VTE), ranging from inpatient to outpatient, general medical floor to critical care. Learn about the criteria for treating low risk Pulmonary Embolism (PE) patients at home.
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