Questions On Deep Venous Disease!

Medicine

Cardiology

Vascular Medicine

ACGME

ABMS

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| By Mia Beans

Mia Beans

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Quizzes Created: 5 | Total Attempts: 968

| Attempts: 224 | Questions: 19

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Question 1 / 19

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1. Overall, how would you rate this educational activity?

Excellent

Very Good

Good

Fair

Poor

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.

Explanation

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About This Quiz

Explore key aspects of managing deep venous diseases with this focused quiz. Assess your knowledge on treatments and diagnostics for conditions like DVT and PE, relevant for medical professionals and students aiming to enhance their understanding in vascular medicine.

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2. RV/LV ratio is significant in the diagnosis of submassive PE when greater than:

0.6

0.9

1.5

DEBATE - Catheter-Directed Thrombolysis for Submassive PE: Use It - It Improves Cardiac Hemodynamics

Explanation

DEBATE - Catheter-Directed Thrombolysis for Submassive PE: Use It - It Improves Cardiac Hemodynamics

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3. Which of the following is an inclusion criterion for the ATTRACT trial?

Asymptomatic DVT

SVC thrombosis

Calf DVT

Femoropopliteal DVT

DEBATE - Catheter-Directed Thrombolysis for Femoropoliteal DVT: Use It Regularly

Explanation

DEBATE - Catheter-Directed Thrombolysis for Femoropoliteal DVT: Use It Regularly

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4. Iliac vein compression is considered as significant

When IVUS measured cross-sectional area is 80% of the adjacent normal vein

When the external iliac vein is smaller than the common iliac vein based on venogram or IVUS

When IVUS measured diameter is smaller at one vein segment than an adjacent segment

When the common iliac vein is flattened on venography

LECTURE - Which Venogram-Occult Iliac Vein Lesions Should Be Treated?

Explanation

LECTURE - Which Venogram-Occult Iliac Vein Lesions Should Be Treated?

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5. 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?

Subcutaneous injections of enoxaparin followed by warfarin

Oral rivaroxaban

Elastic compression stockings

Catheter-directed thrombolysis

LECTURE - Update on Pivotal Clinical Trials in Deep Venous Disease

Explanation

LECTURE - Update on Pivotal Clinical Trials in Deep Venous Disease

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6. 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:

40 mg over two hours

200 mg over one hour

75 mg over one hour

100 mg over two hours

DEBATE - Catheter-Directed Thrombolysis for Submassive PE: Use It - It Improves Cardiac Hemodynamics

Explanation

DEBATE - Catheter-Directed Thrombolysis for Submassive PE: Use It - It Improves Cardiac Hemodynamics

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7. 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?

Hypercoagulable testing

Cessation of anticoagulation

Assessment of his iliac veins

Round the clock use of compressive therapy

DEBATE - Catheter-Directed Thrombolysis for Femoropoliteal DVT: Use It Regularly

Explanation

DEBATE - Catheter-Directed Thrombolysis for Femoropoliteal DVT: Use It Regularly

Submit

8. 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?

40 - 50%

50 - 70%

5 - 10%

10 - 15%

DEBATE - Catheter-Directed Thrombolysis for Femoropoliteal DVT: Don't Use It

Explanation

DEBATE - Catheter-Directed Thrombolysis for Femoropoliteal DVT: Don't Use It

Submit

9. 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:

CDT is associated with higher bleeding rates than anticoagulation alone.

CDT is associated with marked reduction in Post thrombotic syndrome at 2 years.

CDT is associated with higher costs than anticoagulation alone.

CDT is associated with longer length of stay than anticoagulation alone.

DEBATE - Catheter-Directed Thrombolysis for Femoropoliteal DVT: Don't Use It

Explanation

DEBATE - Catheter-Directed Thrombolysis for Femoropoliteal DVT: Don't Use It

Submit

10. 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?

An IVC filter placement

Dabigatran for 3 months

Rivaroxaban for 3 months

Apixaban for 3 months

Edoxaban for 3 months

LECTURE - When Should A New Oral Anticoagulant Be Used For Acute DVT

Explanation

LECTURE - When Should A New Oral Anticoagulant Be Used For Acute DVT

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11. Which of the following statements about the CAVENT Trial is false?

It found catheter-directed thrombolysis to reduce the risk of post-thrombotic syndrome.

There were no fatal or non-fatal intracranial bleeds in study patients

There were no major bleeds that prompted surgical intervention in study patients

A significant difference was not observed in the risk of recurrent venous thromboembolism between thrombolysis and no-thrombolysis.

LECTURE - Update on Pivotal Clinical Trials in Deep Venous Disease

Explanation

LECTURE - Update on Pivotal Clinical Trials in Deep Venous Disease

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12. 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?

She has a low-risk PE

She has a high-risk PE

Catheter-directed lysis will likely reduce her 7 day mortality

Catheter-directed lysis will likely reduce her RV/LV ratio in 24 hours

DEBATE - Catheter-Directed Thrombolysis for Submassive PE: Not Ready For Prime Time

Explanation

DEBATE - Catheter-Directed Thrombolysis for Submassive PE: Not Ready For Prime Time

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13. The ULTIMA trial demonstrated which of the following?

No significant difference in 24 hour echocardiographic outcomes between patients treated with CDT and those treated with heparin alone

No significant difference in 90 day RV/LV ratio between those treated with CDT and those treated with heparin alone

Lower mortality in patients treated with CDT

Higher major bleeding rates in patients treated with CDT

DEBATE - Catheter-Directed Thrombolysis for Submassive PE: Not Ready For Prime Time

Explanation

DEBATE - Catheter-Directed Thrombolysis for Submassive PE: Not Ready For Prime Time

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14. Are you an ACS member?

Yes

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."

Explanation

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."

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15. How Many Category 1 CME Credits are you Claiming?

.25

.75

1.0

1.25

1.5

1.75

The answer .25 represents the number of Category 1 CME credits being claimed.

Explanation

The answer .25 represents the number of Category 1 CME credits being claimed.

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16. Program topics and content met the stated objectives

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

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.

Explanation

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17. Content was relevant to my educational needs

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

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.

Explanation

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18. Educational format was conducive to learning

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

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.

Explanation

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19. Program was fair, objective, and unbiased toward any product or program

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

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.

Explanation

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