You look a little thin!
Risky Business
Potpourri
I saw the signs
It's Complicated...
100
Both LMWH and UFH heparin work by binding antithrombin 3 to inactivate this key coagulation factor.
What is factor X?
100
It may be appropriate to order a D-dimer as part of an evaluation for PE with this pretest probability (low, intermediate, or high)
What is low or intermediate?
100
This is the minimum duration of anticoagulation for a VTE.
What is 3 months?
100
The equestrian term for a thrombus at the bifurcation of the pulmonary artery.
What is a saddle PE?
100
These 2 factors are at the beginning of the common pathway of the coagulation cascade.
What are 5 and 10?
200
These two direct oral anticoagulants (DOACs) require at least 5 days of heparin prior to initiation for treatment of an acute venous thromboembolism (VTE).
What are dabigatran and edoxaban?
200
IVC filters reduce the risk of subsequent PE, but they do NOT reduce the risk of this...
What is mortality?
200
In the Orthopedic surgery literature, this drug is non-inferior to low molecular weight heparin for DVT prophylaxis after hip fracture or major joint surgery.
What is aspirin?
200
Tachycardia is the most common sign of a pulmonary embolism on EKG but we often reference this rarer finding that contains three numbers.
What is S1Q3T3?
200
Name at least one circumstance when a thrombophilia workup should NOT be performed.
Acutely during AC and for a provoked VTE.
300
Name all of the vitamin K dependent factors affected by warfarin?
What are II, VII, IX, X, C, and S?
300
Name one scoring system that can help you decide whether a patient with PE can be safely discharged from the ED or should be admitted.
What is a PESI score or Hestia score?
300
You can stop the workup for PE in non-pregnant patients if they meet all of these criteria.
What are the PERC criteria?
300
The eponymous name of this wedge-shaped infarct due to an acute pulmonary embolism.
What is a Hampton Hump?
300
A score of less than 4 on this scale means that Heparin Induced Thrombocytopenia is unlikely.
What is the 4T score?
400
Name any quality metric for treating a hospitalized patient on warfarin.
What are?
400
Provide either the name of the VTE risk calculator used by Medconnect or name at least 3 of the risk factors.
What is the Padua Score?
400
Anticoagulation helps prevent clot propagation, but it is this natural enzyme that actually helps to dissolve clots.
What is plasmin?
400
High right ventricular (RV) pressure due to a large acute pulmonary embolism (PE) may cause the left ventricle to assume this shape on ultrasound.
What is a D-shape?
400
Name the most common factor associated with heparin-induced skin necrosis.
500
Preferred management of a patient on warfarin with an elevated INR and is experiencing major bleeding.
What is vitamin K and PCC (FFP accepted)?
500
Any one of these features reclassify a PE from low to intermediate risk.
What are RV strain/dysfunction and elevated troponin (or BNP)?
500
This is the reversal agent for Dabigatran.
What is idarucizumab or Praxbind?
https://www.emdocs.net/emdocs-videocast-ebm-update-3-annexa-1-and-doac-reversal-in-ich/
500
Defined as an area of decreased blood perfusion distal to the pulmonary embolism seen on chest x ray (decreased vascular markings).
What is Westermark's Sign?
500
This is the medical term for a tender, swollen, blue leg due to a large lower extremity DVT that blocks both the deep and superficial venous systems.
What is Phlegmasia Cerulea Dolens?
