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Venous Thromboembolism

Total questions: 13

Worksheet time: 8mins

Name
Class
Date
1.

Incidence of VTE almost doubles each decade after age

(a)  

2.

1. VTE risk factors include: (Check all that apply.)

a)

Hormone Replacement Therapy meds

b)

Acute medical illness

c)

Immobility

d)

Trauma

e)

Cancer

3.

The severity of pain correlates with the size of the thrombus.

a)

True

b)

False

4.

Which lab test tests for a fibrin degradation product?

a)

ESR

b)

Doppler

c)

D-dimer

d)

CBC

5.

A D-dimer can be used as a sole diagnostic test. A Doppler is not necessary for diagnosis if the d-dimer is positive.

a)

True

b)

False

6.

What is the gold standard used to diagnose DVT?

a)

Ultrasonography

b)

D-dimer

c)

Venography

7.

Venography is an expensive, invasive test that carries the risk of anaphylaxis and nephrotoxicity

a)

True

b)

False

8.

Which of the following is true regarding ultrasonography? Select all that apply.

a)

Non-invasive

b)

Commonly used for DVT diagnosis

c)

Not commonly used for DVT diagnosis

d)

Cannot detect small blood clots in distal veins

e)

Can detect small blood clots in distal veins

9.

If a patient's assessment indicates DVT but a doppler does not show DVT, what is your next step?

a)

Check for Homan's sign.

b)

Check lab tests

c)

Do an invasive test (such as angiography or venography).

d)

Nothing, if the Doppler is negative there is no need to go further.

10.

Heparin dissolves clots.

a)

True

b)

False

11.

Long term use of UFH can cause? (Check all that apply.)

a)

Alopecia

b)

Hyperkalemia

c)

Osteoporosis

12.

If platelets decrease, 50% from baseline or fall below 240,000 then suspect HIT.

a)

True

b)

False

13.

The doctor decides to give the patient an LMWH. What should we monitor?

a)

APTT

b)

Anti-factor Xa

c)

Factor IIa

d)

INR