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Anticoagulation after provoked DVT — USMLE Step 3 MCQ

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HardInternal Medicine (chronic management)Anticoagulation after provoked DVTUSMLE Step 3

A 46-year-old woman completed 3 months of apixaban for a proximal DVT that occurred after knee surgery. She has no cancer, thrombophilia history, or persistent risk factor. Leg symptoms have resolved. Which of the following would you recommend at the follow-up visit?

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

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Correct answer: CStop anticoagulation after discussing recurrence and bleeding risks

A surgically provoked DVT with a transient risk factor is typically treated for 3 months if the provoking factor has resolved.

Reference: CHEST Venous Thromboembolism Guideline