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Postoperative DVT prophylaxis — USMLE Step 3 MCQ

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

A 72-year-old woman is preparing for discharge after hip fracture repair. She is walking with physical therapy but remains below baseline mobility. Hemoglobin is stable and there is no bleeding. She asks whether injections are needed after discharge. Which of the following would you recommend at the follow-up visit?

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Reveal the answer and explanation

Correct answer: E — Continue pharmacologic venous thromboembolism prophylaxis for the recommended postoperative course

Major orthopedic surgery carries prolonged VTE risk; pharmacologic prophylaxis commonly continues after discharge unless contraindicated.

Reference: CHEST venous thromboembolism prevention guideline: https://journal.chestnet.org/