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Kaplan Qbank USMLE



Author6 Posts
  #1

A 65-year-old male with mild congestive heart failure is to receive
total hip replacement. He has no other underlying diseases and no history
of hypertension, recent surgery, or bleeding disorder. The best approach to
prevention of pulmonary embolus in this patient is
a. Aspirin 75 mg/d
b. Aspirin 325 mg/d
c. Warfarin with INR of 2 to 3
d. Early ambulation

Pls.Explain ur answersmiling face

  #2

I give him (C)

___________________
Don't live in a town where there are no doctors

  #3

it's (C)

Aspirin would not be effective in PE, and as the operation is hip replacement, i don't think that early ambulation would be appropriate, the BEST thing is Warfarin


___________________
I will not say I failed 1000 times.. I will say that I discovered there are 1000 ways that can cause failure ..

  #4

Yep for hip surgery--->

LMWH or adjusted dose pre-op warfarin PLUS IPC or ES

C is the best option among the 4.


  #5

d. to avoid DVT.

  #6

Yes..It is C..nod







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