DVT

Question 1

first-line treatment for most people with VTE

Answer 1

direct oral anticoagulants (DOACs) - apixaban or rivaroxaban!

use of DOACs in patients with active cancer

Question 2

how much score for WELLS SCORE to says DVT likely ?

Answer 2

DVT is ‘likely’ (2 points or more)

Question 3

After Wells score of 2 or more proximal leg vein ultrasound scan should be carried out within

Answer 3

4 hours

Question 4

if Doppler is negative what should be taken ?

Answer 4

d-dimer

Question 5

if a proximal leg vein ultrasound scan cannot be carried out within 4 hours a D-dimer test should be performed and what should be given

Answer 5

interim direct oral anticoagulant (DOAC)

Question 6

if the scan is negative but the D-dimer is positive?

Answer 6

stop interim therapeutic anticoagulation
offer a repeat proximal leg vein ultrasound scan 6 to 8 days later

Question 7

If a DVT is ‘unlikely’ (1 point or less)
perform a

Answer 7

d-dimer - done within 4 hours

Question 8

FIRST LINE TREATMNET FOR VTE suspicion?

Answer 8

DOAC once a diagnosis is suspected, with this continued if the diagnosis is confirmed - APIXABAN AND RIVAROXABAN

if neither apixaban or rivaroxaban are suitable then either LMWH followed by dabigatran or edoxaban OR LMWH followed by a vitamin K antagonist (VKA, i.e. warfarin)

Question 9

length of anticoagulant in VTE?

Answer 9

all patients should have anticoagulation for at least 3 months

Question 10

if the VTE was provoked the treatment is typically stopped after

Answer 10

3 months

Question 11

if the VTE was unprovoked then treatment is typically

Answer 11

6 months