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Pulmonary embolism — RCPSC IM MCQ

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HardRespirologyPulmonary embolismRCPSC IM

A 60-year-old has a proximal pulmonary embolism ten days after knee replacement. She is hemodynamically stable, has normal kidney function and no active bleeding. What is the best treatment plan?

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Correct answer: D — Anticoagulate for a finite course for surgery-provoked VTE

The best answer is “Anticoagulate for a finite course for surgery-provoked VTE”. Stable provoked PE requires prompt therapeutic anticoagulation. Major transient surgical provocation usually supports a finite course after reassessment; thrombolysis is for hemodynamic compromise, filters are reserved for selected contraindications and aspirin is inadequate treatment.

Reference: Thrombosis Canada, clinical guides: https://thrombosiscanada.ca/hcp/practice/clinical_guides