A 53-year-old man returns after treatment for unprovoked proximal deep venous thrombosis. He completed 3 months of apixaban and has no bleeding

Question

A 53-year-old man returns after treatment for unprovoked proximal deep venous thrombosis. He completed 3 months of apixaban and has no bleeding history. Cancer screening is age appropriate and normal. Which of the following would you recommend at the follow-up visit?

Accepted Answer

Discuss extended anticoagulation based on recurrence and bleeding risk

Answer

Order whole-body PET scan routinely

Answer

Switch to aspirin as equivalent therapy

Answer

Stop anticoagulation without risk discussion

Answer

Place an inferior vena cava filter

Unprovoked deep venous thrombosis follow-up — USMLE Step 3 MCQ

A 53-year-old man returns after treatment for unprovoked proximal deep venous thrombosis. He completed 3 months of apixaban and has no bleeding history. Cancer screening is age appropriate and normal. Which of the following would you recommend at the follow-up visit?