Questions On Deep Venous Disease!
- 1.
LECTURE - When Should A New Oral Anticoagulant Be Used For Acute DVT
- 2.
LECTURE - Which Venogram-Occult Iliac Vein Lesions Should Be Treated?
- 3.
LECTURE - Update on Pivotal Clinical Trials in Deep Venous Disease
- 4.
DEBATE - Catheter-Directed Thrombolysis for Submassive PE: Use It - It Improves Cardiac Hemodynamics
- 5.
DEBATE - Catheter-Directed Thrombolysis for Submassive PE: Not Ready For Prime Time
- 6.
DEBATE - Catheter-Directed Thrombolysis for Femoropoliteal DVT: Use It Regularly
- 7.
DEBATE - Catheter-Directed Thrombolysis for Femoropoliteal DVT: Don't Use It
- 8.
If you are an ACS member, what is your member number?
- 9.
Please explain any specific instance(s) of bias or conflict of interest:
- 10.
Additional Comments
- 11.
Are you an ACS member?
- A.
Yes
- B.
No
Correct Answer
A. YesExplanation
The given correct answer is "Yes" because the question asks if the person is an ACS member, and the respondent has indicated that they are indeed a member by selecting "Yes."Rate this question:
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- 12.
Overall, how would you rate this educational activity?
- A.
Excellent
- B.
Very Good
- C.
Good
- D.
Fair
- E.
Poor
Correct Answer
A. ExcellentExplanation
The given correct answer for this question is "Excellent". This suggests that the educational activity was of very high quality and exceeded expectations. The participants likely found it to be engaging, informative, and well-organized. The content and delivery were likely exceptional, resulting in a highly positive experience for the learners.Rate this question:
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- 13.
Program topics and content met the stated objectives
- A.
Strongly Agree
- B.
Agree
- C.
Neutral
- D.
Disagree
- E.
Strongly Disagree
Correct Answer
A. Strongly AgreeExplanation
The given answer, "Strongly Agree," suggests that the program topics and content align well with the stated objectives. This implies that the program effectively covers the intended subject matter and addresses the desired learning outcomes. Participants likely found the material relevant and beneficial in achieving their goals.Rate this question:
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- 14.
Content was relevant to my educational needs
- A.
Strongly Agree
- B.
Agree
- C.
Neutral
- D.
Disagree
- E.
Strongly Disagree
Correct Answer
A. Strongly AgreeExplanation
The given answer "Strongly Agree" suggests that the content provided was highly relevant to the educational needs of the individual. This implies that the content was aligned with the specific requirements or interests of the person, and it effectively addressed their educational goals or learning objectives. The individual found the content to be directly applicable and beneficial to their educational pursuits, indicating a high level of satisfaction and agreement with its relevance.Rate this question:
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- 15.
Educational format was conducive to learning
- A.
Strongly Agree
- B.
Agree
- C.
Neutral
- D.
Disagree
- E.
Strongly Disagree
Correct Answer
A. Strongly AgreeExplanation
The given answer "Strongly Agree" suggests that the educational format was highly supportive and beneficial for learning. It implies that the format provided an environment that facilitated effective learning and helped students grasp and understand the material easily. The individual who chose this answer strongly believes that the educational format was conducive to their learning experience and contributed positively to their academic growth.Rate this question:
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- 16.
Program was fair, objective, and unbiased toward any product or program
- A.
Strongly Agree
- B.
Agree
- C.
Neutral
- D.
Disagree
- E.
Strongly Disagree
Correct Answer
A. Strongly AgreeExplanation
The given answer, "Strongly Agree," suggests that the program was fair, objective, and unbiased towards any product or program. This implies that the program treated all products or programs equally and did not show favoritism or prejudice towards any specific one. The program likely provided an unbiased evaluation or analysis, ensuring that no unfair advantage or bias was given to any product or program.Rate this question:
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- 17.
67 yr old male with history of recent left knee replacement surgery presents with a left femoro-popliteal acute DVT. He has no family history of venous thromboembolic disease. Last month, he went to his primary care MD and his age appropriate cancer screening returned normal. He had history of atrial fibrillation 4 yrs ago for which he was on warfarin briefly. He apparently developed a severe rash along with nausea and malaise. He was advised to stop the drug and was placed on Dabigatran. This was then stopped as he developed anemia and was tested positive for occult blood in the stools. The colonoscopy however returned normal. He underwent successful radio frequency ablation with resolution of atrial fibrillation and the anticoagulation was stopped. He did not have any issues with anemia for the last 3 yrs. What treatment would you recommend for this patient?
- A.
An IVC filter placement
- B.
Dabigatran for 3 months
- C.
Rivaroxaban for 3 months
- D.
Apixaban for 3 months
- E.
Edoxaban for 3 months
Correct Answer
D. Apixaban for 3 monthsExplanation
LECTURE - When Should A New Oral Anticoagulant Be Used For Acute DVTRate this question:
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- 18.
Iliac vein compression is considered as significant
- A.
When IVUS measured cross-sectional area is 80% of the adjacent normal vein
- B.
When the external iliac vein is smaller than the common iliac vein based on venogram or IVUS
- C.
When IVUS measured diameter is smaller at one vein segment than an adjacent segment
- D.
When the common iliac vein is flattened on venography
Correct Answer
A. When IVUS measured cross-sectional area is 80% of the adjacent normal veinExplanation
LECTURE - Which Venogram-Occult Iliac Vein Lesions Should Be Treated?Rate this question:
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- 19.
A 35 year-old man with a first-episode, acute iliofemoral DVT presents to the emergency room. Which of the following treatments is not supported by rigorously designed multicenter randomized controlled trials?
- A.
Subcutaneous injections of enoxaparin followed by warfarin
- B.
Oral rivaroxaban
- C.
Elastic compression stockings
- D.
Catheter-directed thrombolysis
Correct Answer
C. Elastic compression stockingsExplanation
LECTURE - Update on Pivotal Clinical Trials in Deep Venous DiseaseRate this question:
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- 20.
Which of the following statements about the CAVENT Trial is false?
- A.
It found catheter-directed thrombolysis to reduce the risk of post-thrombotic syndrome.
- B.
There were no fatal or non-fatal intracranial bleeds in study patients
- C.
There were no major bleeds that prompted surgical intervention in study patients
- D.
A significant difference was not observed in the risk of recurrent venous thromboembolism between thrombolysis and no-thrombolysis.
Correct Answer
C. There were no major bleeds that prompted surgical intervention in study patientsExplanation
LECTURE - Update on Pivotal Clinical Trials in Deep Venous DiseaseRate this question:
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- 21.
RV/LV ratio is significant in the diagnosis of submassive PE when greater than:
- A.
0.6
- B.
0.9
- C.
1
- D.
1.5
Correct Answer
B. 0.9Explanation
DEBATE - Catheter-Directed Thrombolysis for Submassive PE: Use It - It Improves Cardiac HemodynamicsRate this question:
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- 22.
A 45-year-old female patient presents to the ER in cardiogenic shock. She is resuscitated with IV fluids and dopamine. A massive PE is diagnosed with a CTA of the chest. She is transferred to the ICU after starting a heparin drip. She suddenly becomes hypotensive in the ICU and systemic TPA is considered since she has no contraindications to thrombolytics. The correct dosage of systemic TPA for the treatment of massive PE is:
- A.
40 mg over two hours
- B.
200 mg over one hour
- C.
75 mg over one hour
- D.
100 mg over two hours
Correct Answer
D. 100 mg over two hoursExplanation
DEBATE - Catheter-Directed Thrombolysis for Submassive PE: Use It - It Improves Cardiac HemodynamicsRate this question:
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- 23.
A 43 year old woman is diagnosed with a pulmonary embolus in her right main PA. She is tachpyneic and tachycardic. Her troponin and BNP are normal. Echocardiography demonstrates an RV/LV ratio of 1. Which of the following is true?
- A.
She has a low-risk PE
- B.
She has a high-risk PE
- C.
Catheter-directed lysis will likely reduce her 7 day mortality
- D.
Catheter-directed lysis will likely reduce her RV/LV ratio in 24 hours
Correct Answer
D. Catheter-directed lysis will likely reduce her RV/LV ratio in 24 hoursExplanation
DEBATE - Catheter-Directed Thrombolysis for Submassive PE: Not Ready For Prime TimeRate this question:
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- 24.
The ULTIMA trial demonstrated which of the following?
- A.
No significant difference in 24 hour echocardiographic outcomes between patients treated with CDT and those treated with heparin alone
- B.
No significant difference in 90 day RV/LV ratio between those treated with CDT and those treated with heparin alone
- C.
Lower mortality in patients treated with CDT
- D.
Higher major bleeding rates in patients treated with CDT
Correct Answer
B. No significant difference in 90 day RV/LV ratio between those treated with CDT and those treated with heparin aloneExplanation
DEBATE - Catheter-Directed Thrombolysis for Submassive PE: Not Ready For Prime TimeRate this question:
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- 25.
A 45 year old man with a history of femoropopliteal DVT has a Villalta score of 9, 6 months after the acute event. This is his second VTE event. Which of the following should be part of his management?
- A.
Hypercoagulable testing
- B.
Cessation of anticoagulation
- C.
Assessment of his iliac veins
- D.
Round the clock use of compressive therapy
Correct Answer
C. Assessment of his iliac veinsExplanation
DEBATE - Catheter-Directed Thrombolysis for Femoropoliteal DVT: Use It RegularlyRate this question:
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- 26.
Which of the following is an inclusion criterion for the ATTRACT trial?
- A.
Asymptomatic DVT
- B.
SVC thrombosis
- C.
Calf DVT
- D.
Femoropopliteal DVT
Correct Answer
D. Femoropopliteal DVTExplanation
DEBATE - Catheter-Directed Thrombolysis for Femoropoliteal DVT: Use It RegularlyRate this question:
-
- 27.
A 45-year-old female executive with no past medical history, on oral contraceptives for last two years presented to the primary care physician with right calf swelling and discomfort for last three days. She had been on vacation to Europe and returned a week ago. She denied any chest pain or shortness of breath. On physical examination she has mild edema and erythema of the right calf without any varicose veins. She noted calf discomfort with dorsiflexion of her right foot. A venous Duplex shows that acute deep vein thrombosis of the femoral and above knee popliteal veins, without any involvement of Common femoral veins. What is the risk of her developing severe post thrombotic syndrome at 6 months on anticoagulation?
- A.
40 - 50%
- B.
50 - 70%
- C.
5 - 10%
- D.
10 - 15%
Correct Answer
D. 10 - 15%Explanation
DEBATE - Catheter-Directed Thrombolysis for Femoropoliteal DVT: Don't Use ItRate this question:
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- 28.
Based on current evidence regarding the use of catheter-directed thrombolysis (CDT) in isolated femoro-popliteal acute DVT, all of the following statements are correct EXCEPT:
- A.
CDT is associated with higher bleeding rates than anticoagulation alone.
- B.
CDT is associated with marked reduction in Post thrombotic syndrome at 2 years.
- C.
CDT is associated with higher costs than anticoagulation alone.
- D.
CDT is associated with longer length of stay than anticoagulation alone.
Correct Answer
B. CDT is associated with marked reduction in Post thrombotic syndrome at 2 years.Explanation
DEBATE - Catheter-Directed Thrombolysis for Femoropoliteal DVT: Don't Use ItRate this question:
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- 29.
How Many Category 1 CME Credits are you Claiming?
- A.
.25
- B.
.5
- C.
.75
- D.
1.0
- E.
1.25
- F.
1.5
- G.
1.75
Correct Answer
A. .25Explanation
The answer .25 represents the number of Category 1 CME credits being claimed.Rate this question:
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Quiz Review Timeline +
Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.
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Current Version
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Nov 16, 2023Quiz Edited by
ProProfs Editorial Team -
Feb 23, 2015Quiz Created by
Mia Beans
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