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Postoperative DVT — USMLE Step 3 MCQ

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ModerateSurgery (post-operative, follow-up)Postoperative DVTUSMLE Step 3

A 57-year-old woman is 8 days after hysterectomy and has new unilateral calf swelling and pain. Temperature is 37.6°C. The left calf is 4 cm larger than the right. She has no chest pain or dyspnea. Which of the following is the most appropriate at this time?

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Correct answer: D — Obtain compression ultrasonography of the symptomatic leg

Suspected postoperative lower-extremity DVT should be evaluated with compression ultrasonography; anticoagulation follows if confirmed or if clinical circumstances require empiric treatment.

Reference: CHEST VTE Diagnosis Guideline