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VTE prophylaxis failure — MCCQE Part 1 MCQ

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ModeratePost-operative ComplicationsVTE prophylaxis failureMCCQE Part 1

A 48-year-old woman POD2 from total abdominal hysterectomy has calf swelling and pain. She was not on thromboprophylaxis. Doppler confirms proximal DVT. Which prophylactic measure should have been implemented?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — LMWH starting 6-12h preoperatively or postoperatively

Major gynaecological surgery: moderate-high VTE risk. LMWH prophylaxis recommended per Thrombosis Canada. IPC adjunctive. Early ambulation alone insufficient for major surgery.

Reference: Thrombosis Canada VTE Prevention