DVT

Question 1

Virchow’s triad includes

Answer 1

Stasis
Hypercoaguable state
Endothelial injury

Question 2

What is the most important risk factor for DVT

Answer 2

Admission into hospital for medical or surgical treatment

Question 3

What is the MC congenital prothrombotic condition

Answer 3

Factor V (leiden mutation)

Question 4

What is May Thurner syndrome

Answer 4

Right iliac artery, presses on the left iliac vein, and gives rise to left iliac vein thrombosis 

Question 5

What is Phlegmasia Cerulea Dolens

Answer 5

Painful blue limb
Collaterals also thrombosed

Question 6

What is Phlegmasia Alba dolens

Answer 6

It is painful white leg / Milk leg
Collaterals are spared

Question 7

MC veins involved in DVT

Answer 7

Calf / Soleal vein

Question 8

MC veins in which DVT gives rise to PA

Answer 8

Iliofemoral veins

Question 9

Most constant sign in DVT is

Answer 9

Limb edema

Question 10

What is Moses sign

Answer 10

When Calf is squeezed it leads to pain

Question 11

What is Homan’s sign

Answer 11

During dorsiflexion of foot - there is resistance / stiffness ( it is not pain)

Question 12

IOC for DVT

Answer 12

Duplex Scan

Question 13

Which criteria is used for predicting DVT and carrying out imaging

Answer 13

Modified Wells criteria

Question 14

Score to remember in modified wells criteria

Answer 14

IV drug abuse = 3
Alternative diagnosis more likely than DVT = (-2)
Others 1

Question 15

Which lab value has negative predictor value for DVT

Answer 15

Negative D dimer

Question 16

Management for recurring DVT

Answer 16

Lifelong Anticoagulants

Question 17

Anticoagulation management for DVT patients

Answer 17

First 5 days : LMWH + warfarin
After 5 days : warfarin

Question 18

What is targeted INR in warfarin therapy

Answer 18

2-3

Question 19

Maximum value of INR at which surgery can be done without raise in excessive bleeding is

Answer 19

1.4

Question 20

What to administer if patient is sensitive to warfarin

Answer 20

Fondaparinux (factor Xa inhibitors)
Biliverdin (direct thrombin inhibitor )

Question 21

What are some NOAC

Answer 21

Rivaroxaban
Apixaban
No monitoring required

Question 22

What to do if patient presents with early DVT

Answer 22

Direct thrombolysis can be done (streptokinase/urokinase)

Question 23

Management for first episode of DVT

Answer 23

Warfarin for 3 months

Question 24

What to administer to reduce the INR

Answer 24

Prothrombin factor concentrates > FFP

Question 25

What is ATTRACT trial?

Answer 25

Thrombolysis is useful in patient with proximal DVT with moderate to severe symptoms

Question 26

MC used IVC Filter is

Answer 26

Greenfield filter

Question 27

Management of IVC blocked

Answer 27

IV Fluid

Question 28

In PE ….. will be raised

Answer 28

JVP

Question 29

…. Position inc the risk of PE

Answer 29

Sitting from lying down

Question 30

Primary Upper extremity DVT is also known as

Answer 30

Paget Schrotter disease (Axillary vein thrombosis)

Question 31

Secondary upper extremity DVT is occurs due to

Answer 31

Indwelling catheter

Question 32

Mgt of superficial thrombophlebitis

Answer 32

Anti inflammatory agent
Thrombophobe ointment
Compression garment can also use

Question 33

DVT IS usually Unilateral or Bilateral?

Answer 33

Unilateral

Question 34

What is the Gold standard for DVT

Answer 34

Venography

Question 35

What investigation is done suspected case of PE

Answer 35

CT angiography

Question 36

Maximum value of INR at which surgery can be done without rise in Excessive bleeding is

Answer 36

1.4