Vascular Medicine And Thrombosis Specialty Symposium! Quiz

21 Questions | Total Attempts: 74

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Vascular Medicine And Thrombosis Specialty Symposium! Quiz

PROGRAM OBJECTIVES This activity is designed for physicians and allied health professionals. This course includes videos and questions from the 2015 Annual Meeting, Allied Health Symposium. Upon completion of this course, you will receive a customized CME certificate. HARDWARE/SOFTWARE REQUIREMENTS The system requirements are as follows: the quizzes need to be accessed via a web browser actively connected to the Internet. DISCLOSURE POLICY In accordance with the ACCME Accreditation Criteria, the American College of Surgeons must ensure that anyone in a position to control the content of the educational activity has disclosed all relevant financial relationships with any commercial interest. Therefore, it is ma


Questions and Answers
  • 1. 
    New Observations with IVC Filters 
  • 2. 
    Compression Remains Important for DVT Patients: Despite the Results of the SOX Trial 
  • 3. 
    Does Idiopathic VTE Require Indefinite Anticoagulation? 
  • 4. 
    What is Chronic Post-Thrombotic Iliofemoral Venous Occlusion: Is it Avoidable? Can it be Corrected? 
  • 5. 
    So my Patient has Lymphedema … Now What? 
  • 6. 
    The Greatest Paradox in Medicine 
  • 7. 
    Insightful Use of the Target Specific Oral Anticoagulants 
  • 8. 
    The ACCESS Trial: Catheter Based Therapy for Post-Thrombotic Venous Disease 
  • 9. 
    If you are an ACS member, what is your member number?
  • 10. 
    Please explain any specific instance(s) of bias or conflict of interest:
  • 11. 
    Additional Comments
  • 12. 
    Are you an ACS member?
    • A. 

      Yes

    • B. 

      No

  • 13. 
    Overall, how would you rate this educational activity?
    • A. 

      Excellent

    • B. 

      Very Good

    • C. 

      Good

    • D. 

      Fair

    • E. 

      Poor

  • 14. 
    Program topics and content met the stated objectives
    • A. 

      Strongly Agree

    • B. 

      Agree

    • C. 

      Neutral

    • D. 

      Disagree

    • E. 

      Strongly Disagree

  • 15. 
    Content was relevant to my educational needs
    • A. 

      Strongly Agree

    • B. 

      Agree

    • C. 

      Neutral

    • D. 

      Disagree

    • E. 

      Strongly Disagree

  • 16. 
    Educational format was conducive to learning
    • A. 

      Strongly Agree

    • B. 

      Agree

    • C. 

      Neutral

    • D. 

      Disagree

    • E. 

      Strongly Disagree

  • 17. 
    Program was fair, objective, and unbiased toward any product or program
    • A. 

      Strongly Agree

    • B. 

      Agree

    • C. 

      Neutral

    • D. 

      Disagree

    • E. 

      Strongly Disagree

  • 18. 
    According to the FDA's Alert Notice "Removing Retrievable Inferior Vena Cava Filters: Initial Communication" issued on August 9, 2010, the FDA recommends "that implanting physicians and clinicians responsible for the ongoing care of patients with retrievable IVC filters..."
    • A. 

      ...perform annual plain film x-rays of all IVC filters to monitor for filter integrity.

    • B. 

      ...consider removing the filter as soon as protection from PE is no longer needed.

    • C. 

      ...remove the retrievable filter and replace with a permanent filter whenever possible.

    • D. 

      ...should enter the patient's data in the IVC filter module of the American Venous Registry.

  • 19. 
    A 52 year old male presented with recent onset of swelling in the right lower extremity. A duplex ultrasound scan demonstrated acute deep vein thrombosis in the peroneal, popliteal and femoral veins. The patient was placed on low molecular weight heparin on the day of diagnosis. When the elastic compression stockings should be applied?
    • A. 

      Five days after the initiation of anticoagulation

    • B. 

      Two weeks from day of diagnosis

    • C. 

      On the day of diagnosis

    • D. 

      A month from the day of diagnosis

  • 20. 
    Which of the following is most helpful for risk stratifying a patient prior to stopping anticoagulation?
    • A. 

      Residual changes noted on duplex ultrasound

    • B. 

      D-dimer

    • C. 

      Gender

    • D. 

      Factor V Leiden testing

  • 21. 
    A 72 yo man presents with idiopathic femoral and popliteal vein DVT. His past medical history is otherwise unremarkable. He has completed 6 months of therapy with VKA. He is up to date on age and gender cancer screening. No thrombophilia testing has been performed. His D-dimer using a validated assay is 750 ng/mL. What recommendation is most appropriate for his anticoagulation?
    • A. 

      Having completed 6 months of therapy - he is appropriate to stop anticoagulation.

    • B. 

      A minimum of 12 months of therapy is required for unprovoked DVT.

    • C. 

      He should be advised of the need for extended therapy.

    • D. 

      He requires full thrombophilia testing prior to stopping anticoagulation.

  • 22. 
    Which of the following statements regarding post-thrombotic Iliofemoral venous occlusion is correct?
    • A. 

      The tissue causing post-thrombotic Iliofemoral occlusion is predominantly Type I collagen

    • B. 

      The tissue causing chronic post-thrombotic Iliofemoral venous occlusion is predominantly a platelet/fibrin thrombus

    • C. 

      Post-thrombotic Iliofemoral venous occlusion is avoidable if the patient’s acute Iliofemoral DVT is treated with catheter-directed thrombolysis

    • D. 

      A and C are correct

  • 23. 
    A 47 year-old woman presents with bilateral leg enlargement that has been present since childhood. The swelling worsened significantly during (and immediately after) puberty, and it has been slowly progressing since then. The soft swelling involves both legs (left slightly worse than right) from the groin to the ankles; the feet are completely spared. She has tried over-the-counter compression stockings but they did not provide any benefit. Which statement about the treatment of this condition is correct:
    • A. 

      Manual lymphatic drainage (MLD) will manage this problem adequately in more than 60% of cases

    • B. 

      Intermittent pneumatic compression pumping is effective, but only when combined with MLD

    • C. 

      Long-term therapy requires the aggressive use of short-stretch compression wraps

    • D. 

      Liposuction may be beneficial

  • 24. 
    Which of the following is not a contraindication to the use of an intermittent pneumatic compression pump for a limb with lymphedema?
    • A. 

      Acute deep venous thrombosis involving the affected limb

    • B. 

      Severe peripheral arterial disease involving the affected limb

    • C. 

      Weeping skin and an ankle ulceration involving the affected limb

    • D. 

      Congestive heart failure with symptoms at rest

  • 25. 
    A 60-year-old male presents with idiopathic symptomatic right lower-limb femoral/popliteal DVT. His pre-treatment INR is 1.3, PTT 35 sec, and platelet count = 135 × 109/l, with normal Hb and WBC. He is treated as an out-patient with therapeutic-dose LMWH and overlapping warfarin. He is reviewed 6 days later. The right lower-limb symptoms and signs of DVT have improved on LMWH; the INR (after 5 days of warfarin) is now 2.5, and the platelet count has increased to 500 × 109/l. The patient is advised to stop the LMWH and continue with warfarin monotherapy; however, 3 days later he goes to ER with severe right lower-limb pain, progressive swelling, and forefoot purplish discoloration, with doppler-detectable pulses; the INR is 6.5 and the platelet count is 90 × 109/l. The most likely diagnosis is:
    • A. 

      A. Heparin-induced thrombocytopenia with small artery thrombosis

    • B. 

      B. Heparin-induced thrombocytopenia with warfarin-induced microthrombosis

    • C. 

      C. Cancer-associated DIC with warfarin-induced microthrombosis

    • D. 

      D. DVT progression involving small veins secondary to hereditary hypercoagulability state, most likely factor V Leiden

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