A 70-year-old man is admitted for elective hip replacement. He has obesity and a prior provoked DVT after surgery 10 years ago. Renal function and

Question

A 70-year-old man is admitted for elective hip replacement. He has obesity and a prior provoked DVT after surgery 10 years ago. Renal function and platelet count are normal. He has no active bleeding. Which of the following is the most appropriate at this time?

Accepted Answer

Use pharmacologic plus mechanical thromboprophylaxis

Answer

Place a filter in every elective case

Answer

Use no prophylaxis because surgery is elective

Answer

Give aspirin for pain without VTE planning

Answer

Give therapeutic thrombolysis before surgery

VTE prophylaxis hip surgery — USMLE Step 3 MCQ

A 70-year-old man is admitted for elective hip replacement. He has obesity and a prior provoked DVT after surgery 10 years ago. Renal function and platelet count are normal. He has no active bleeding. Which of the following is the most appropriate at this time?