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PGY1 Orientation DVT Prophylaxis Post-Quiz: DVT Prophylaxis
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  1. Question 1 of 7
    1. Question

    A 62-year-old male patient, Mr. Smith, is admitted to the hospital for elective total hip replacement surgery due to osteoarthritis. He has a medical history of hypertension, type 2 diabetes mellitus, and a prior DVT episode following a long-haul flight five years ago. His current medications include metformin, lisinopril, and atorvastatin. Mr. Smith’s BMI is 32, and he reports being a non-smoker. In the preoperative evaluation, which of the following is the most appropriate DVT prophylaxis strategy for Mr. Smith?

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  2. Question 2 of 7
    2. Question

    Which of the following is NOT a recommended pharmacological intervention for DVT prophylaxis in a patient undergoing abdominal surgery?

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  3. Question 3 of 7
    3. Question

    In a patient at high risk for DVT but with a contraindication to pharmacological prophylaxis, which of the following is the best alternative intervention?

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  4. Question 4 of 7
    4. Question

    A 65-year-old female with a recent history of immobility due to a leg fracture is being considered for DVT prophylaxis. Which of the following best describes the mechanism by which immobility increases the risk of DVT?

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  5. Question 5 of 7
    5. Question

    Which of the following medications is associated with an increased risk of DVT due to its hypercoagulable effect?

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  6. Question 6 of 7
    6. Question

    A 70-year-old male postoperative patient on DVT prophylaxis with unfractionated heparin develops thrombocytopenia. What condition should be strongly considered?

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  7. Question 7 of 7
    7. Question

    Mr. Smith, a 78-year-old male weighing 68 kg, is admitted to the hospital with worsening chronic heart failure. His past medical history includes hypertension, type 2 diabetes mellitus, and chronic kidney disease. Current medications include lisinopril, metformin, and a beta-blocker. A recent laboratory report shows serum creatinine at 2.5 mg/dL. Considering his hospitalization for a medical illness and risk factors, the team is contemplating DVT prophylaxis with enoxaparin. Based on his renal function, how should enoxaparin be dosed?

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