QuestionSBA
QuestionChoice
Unfractionated heparin is rarely used anymore due to its need to be monitored via APTT. Therefore it would not be used first-line.  However, it is preferred to low molecular weight heparin in patients with reduced CrCl.
10000594
d
Unfractionated heparin
QuestionChoice
This is a DOAC (direct oral anticoagulant) and is an appropriate treatment for a DVT. However, it should only be used when CrCl > 30ml/min.
10000592
b
Dabigatran
QuestionChoice
Patients with suspected DVT should be managed with treatment dose rivaroxaban (or apixaban alternatively) first-line. It is a DOAC (direct oral anticoagulant), and is safe to give at a reduced dose in patients with CrCl below 30ml/min.
10000591
a
Rivaroxaban
QuestionChoice
Aspirin is an anti-platelet drug which may be used for secondary prevention of a DVT in patients who decline anticoagulant drugs. However, it would not be used first-line for this patient.
10000595
e
Aspirin
QuestionChoice
This is a type of low-molecular weight heparin, which can be used to treat DVTs. However, it is not typically used first-line for treatment, more so for thromboprophylaxis. It also cannot be used in patients with CrCl <30ml/min.
10000593
c
Enoxaparin
Concept
Chapter
2693
3795
Deep Vein Thrombosis
Topic
161
Emergency Medicine
12665
A 74-year-old is found to have a deep-vein-thrombosis (DVT) on doppler ultrasound. His CrCl is 24ml/min and he takes 300mg OD Allopurinol for gout.

Which of the following is the most appropriate drug for the immediate treatment of his DVT?
a