16 board-style questions on vte, dvt & pe in the PulseMD family medicine question bank, written against current guidelines with the reference cited on each question. Two free samples below; the full set with answers, explanations, and spaced review is free to start.
A 44-year-old woman presents with progressive left leg swelling, calf tenderness, and warmth over 4 days. She returned from a 12-hour international flight 8 days ago and is on combined oral contraceptive pills. Her left calf circumference is 4 cm greater than the right. There is pitting edema to the mid-shin. Her Wells score for DVT is calculated at 4 (calf swelling greater than 3 cm = 1, pitting edema = 1, recently bedridden/major surgery = 0, localized tenderness = 1, entire leg swollen = 1). What is the most appropriate next diagnostic step?
A 48-year-old man was diagnosed with an unprovoked proximal deep vein thrombosis of the left popliteal and femoral veins 6 months ago. He has been on rivaroxaban 20 mg daily since diagnosis with no bleeding complications. Repeat compression ultrasonography shows complete resolution of the thrombus. He has no identifiable provoking risk factors (no surgery, immobilization, trauma, or malignancy). Thrombophilia workup is negative. He asks how long he should continue anticoagulation. What is the most appropriate recommendation?
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