Vascular surgery: DVT treatment: practice question

A General Surgery question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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General Surgery · Vascular surgery: DVT treatment

Sample item

A 40-year-old has a confirmed popliteal vein DVT after a long flight and no cancer. What is the standard treatment?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

A. Anticoagulation for at least three months

Therapeutic anticoagulation with LMWH or a direct oral anticoagulant, with or without a warfarin bridge, prevents propagation and embolism, and a provoked DVT is treated for at least three months. IVC filters are for those with contraindication to anticoagulation or recurrent embolism despite it. Early mobilisation with compression is encouraged.

Option by option

  • A. Anticoagulation for at least three months (correct)

    Correct. At least three months of anticoagulation is standard.

  • B. Bed rest alone

    Rest alone does not prevent propagation.

  • C. Aspirin for one week

    Aspirin is inadequate.

  • D. Immediate IVC filter in all cases

    Filters are reserved for special circumstances.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this General Surgery question

What is the answer to this General Surgery question?

The best answer is A, Anticoagulation for at least three months. Therapeutic anticoagulation with LMWH or a direct oral anticoagulant, with or without a warfarin bridge, prevents propagation and embolism, and a provoked DVT is treated for at least three months.

Why is "Bed rest alone" not the answer?

Rest alone does not prevent propagation.

Why is "Aspirin for one week" not the answer?

Aspirin is inadequate.

Why is "Immediate IVC filter in all cases" not the answer?

Filters are reserved for special circumstances.

What concept does this question test?

It tests Vascular surgery: DVT treatment in General Surgery. IVC filters are for those with contraindication to anticoagulation or recurrent embolism despite it. Early mobilisation with compression is encouraged.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Vascular surgery: DVT treatment?

Learn classic signs and eponyms alongside what they diagnose. Then use the flashcards and the other General Surgery questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.