VTE Treatment Care Levels Quiz
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Questions and Answers

Which factor would not increase the Wells Score for PE in the context of VTE risk assessment?

  • Heart Rate >100bpm (correct)
  • Malignancy treatment in the last 6 months
  • Hemoptysis
  • Previous DVT or PE

What is the purpose of assessing bleeding risk prior to starting anticoagulation for VTE?

  • To determine the patient's platelet count
  • To predict the risk of extension of the clot (correct)
  • To decide on the duration of anticoagulation
  • To prevent potentially fatal embolization of the clot

What is considered a moderate risk of bleeding in relationship to the duration of the anticoagulation for VTE?

  • 2 risk factors
  • 0 risk factors
  • 1 risk factor (correct)
  • 3 risk factors

In the context of VTE, which situation would be an indication for outpatient care rather than inpatient treatment?

<p>Normal renal function and reliable follow-up (C)</p> Signup and view all the answers

In the context of anticoagulation therapy for VTE, what are considered absolute contraindications to anticoagulation?

<p>Active bleeding (B)</p> Signup and view all the answers

When considering anticoagulant therapy for VTE, which factor should be a primary concern?

<p>Hypercoagulable states (A)</p> Signup and view all the answers

Why is it important to involve the patient and family in the decision-making process regarding anticoagulation therapy for VTE?

<p>To enhance adherence to the treatment plan (B)</p> Signup and view all the answers

What should be a significant consideration when assessing the risk of bleeding in VTE patients?

<p>PT/INR levels (A)</p> Signup and view all the answers

In treating an unstable PE, what should be the initial focus of management?

<p>Initiating anticoagulant therapy (A)</p> Signup and view all the answers

Which is a key goal of anticoagulation therapy for VTE?

<p>Preventing extension of the clot and embolization (D)</p> Signup and view all the answers

What is the most common preventable cause of hospital-related death?

<p>Venous Thromboembolism (VTE) (C)</p> Signup and view all the answers

Who is at a greater risk for VTE according to the text?

<p>Men (A)</p> Signup and view all the answers

When is the incidence of VTE the highest?

<p>Post-partum period (A)</p> Signup and view all the answers

Which group of patients have an increased risk of developing a VTE, even with prophylactic therapy?

<p>Patients admitted to the ICU (B)</p> Signup and view all the answers

What percentage of VTEs occur within 3 months following hospitalization?

<p>45% (A)</p> Signup and view all the answers

When should anticoagulation therapy be initiated for VTE?

<p>Once a diagnosis of VTE (DVT or PE) is made, unless there are contraindications (B)</p> Signup and view all the answers

Which condition indicates a low-risk PE allowing for treatment at home?

<p>Clinically stable individuals with good cardiopulmonary reserve (D)</p> Signup and view all the answers

What level of care is typically needed for intractable pain or complete venous obstruction due to DVT?

<p>Inpatient care (C)</p> Signup and view all the answers

Who should be anticoagulated according to the provided text?

<p>Patients with UEDVT involving the axillary or more proximal veins (C)</p> Signup and view all the answers

What defines 'low risk' in the context of PE treatment at home?

<p>Clinically stable with good cardiopulmonary reserve (B)</p> Signup and view all the answers

When can parenteral anticoagulants be started empirically in persons with an intermittent risk of VTE?

<p>If the test results will take more than 4 hours (A)</p> Signup and view all the answers

What is recommended for persons with a high risk of bleeding at 3 months?

<p>Not to be anticoagulated (B)</p> Signup and view all the answers

Why are many bleeding risk scores related to anticoagulation for patients with atrial fibrillation not necessarily applicable for VTE patients?

<p>Different underlying conditions between the two patient populations (A)</p> Signup and view all the answers

What is recommended for persons with a low risk of bleeding at 3 months?

<p>To be anticoagulated (B)</p> Signup and view all the answers

What is the general recommendation for persons with an intermittent risk of bleeding at 3 months?

<p>Varying opinions exist (A)</p> Signup and view all the answers

What is the most common VTE risk factor among patients undergoing major surgery?

<p>Previous VTE (A)</p> Signup and view all the answers

Which condition is NOT listed as a risk factor for VTE development?

<p>Infection (A)</p> Signup and view all the answers

Which type of thrombosis is classified as a Proximal DVT?

<p>Popliteal vein (D)</p> Signup and view all the answers

Which surgery duration is NOT associated with an increased risk of VTE according to the text?

<p>&lt; 30 minutes under local anesthesia (B)</p> Signup and view all the answers

Which of the following conditions is part of the Virchow Triad associated with VTE development?

<p>Vessel Damage (C)</p> Signup and view all the answers

What is a common misconception about superficial thrombi?

<p>They are always treated regardless of risk factors (D)</p> Signup and view all the answers

Which type of DVT poses half the risk of causing a PE compared to proximal DVTs?

<p>Distal DVTs (C)</p> Signup and view all the answers

What proportion of symptomatic DVTs are typically located in the proximal veins?

<p>80% (C)</p> Signup and view all the answers

What is a characteristic of distal DVTs that distinguishes them from proximal DVTs?

<p>Tendency to resolve without anticoagulation (D)</p> Signup and view all the answers

Which physical finding is NOT commonly associated with DVT?

<p>Fever (D)</p> Signup and view all the answers

What percentage of distal DVTs are likely to extend to the proximal vein within the first two weeks of diagnosis?

<p>33% (A)</p> Signup and view all the answers

What is a common clinical finding in about 40% of DVT cases but is considered unreliable?

<p><em>Homan's sign</em> (D)</p> Signup and view all the answers

What is characteristic of non-extending distal DVTs in relation to PEs?

<p><em>They rarely cause a PE</em> (D)</p> Signup and view all the answers

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