DVt

Question 1

Bur how’s triad

Answer 1

Stasis
Hypercoagulability
Endothelial injury

Question 2

Cause of hyper coagulability

Answer 2

Medication
Surgery
Genetics

Question 3

On ultrasound we see

Answer 3

Incompressible vein with hyperechoic mass and absent blood flow

Question 4

Other investigation

Answer 4

Ddimer if there is a low suspicion on dvt wells score 0
Venograpth by taking X-ray

Question 5

Mgt of DVT

Answer 5

Heparin and warfarin
Thrombectomy
Inferior vena cava filter if there is contraindication for anticoagulant to prevent PTE

Question 6

Phlegmesia cerulea dolens

Answer 6

Obstruction of all veins characterized by compression of arterial blood flow

Question 7

Well’s score

Answer 7

Active cancer
Prior DVT
Paralysis or immobilization
Bed ridden for more than 5 days or surgery over the past 12 weeks
The set was
Swelling
Calf swelling
Calf difference more than3 cm
Pitting edema
Non varicose vein
We give for all those +1

Alternative diagnosis more likely -2

Question 8

Wells score interpretation

Answer 8

0 less likely
1-2 intermediate
Above 3 high

Question 9

A drug safe for breast feeding pregnancy which have an immediate effect is

Answer 9

LMWH

Question 10

Estrogen effect on DVT

Answer 10

Decrease protein S which decreases other factors

Question 11

If DVT is unprovoked look for?

Answer 11

Malignancy

Question 12

Contraindication for direct oral anticoagulant? (Rivaroxaban and edixaban)

Answer 12

Pregnancy
CLD
Renal impairment

Question 13

Direct anticoagulant for long term use

Answer 13

Rivaroxaban and edixaban