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Orthopaedic VTE Prophylaxis — RACP Adult Medicine MCQ

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EasyGeneral Internal MedicineOrthopaedic VTE ProphylaxisRACP Adult Medicine

A 68-year-old woman is admitted for elective hip replacement. What is the standard pharmacological VTE prophylaxis for major orthopaedic surgery in Australia?

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Correct answer: D — Enoxaparin 40 mg SC daily for 28–35 days

LMWH (enoxaparin 40 mg SC daily) is standard for major orthopaedic surgery, commenced 6–12 hours post-op, continued 28–35 days for hip, 10–14 days for knee. Rivaroxaban is a PBS-listed alternative.

Reference: Victorian Guideline for Prevention of VTE – 2023; eTG – 2025 – Haematology