1) Embolisation may occur from a dvt which is not clinically evident.
CORRECT!
The diagnosis of PE needs to be considered in anyone with the symptoms of chest pain, shortness of breath, haemoptysis, and desaturation, irrespective of whether they have clinical evidence of a DVT. It’s one of the features of PEs that make them such a diagnostic conundrum.
Incorrect
2) Proximal ileofemoral dvt are more likely to embolise than distal popliteal dvt.
CORRECT!
The risk of embolisation is higher from an ‘above knee’ DVT
Incorrect
3) Pulmonary infarction may occur in situ in the setting of pulmonary hypertension.
CORRECT!
Incorrect
4) Medium sized pulmonary emboli are usually treated with thrombolysis.
Incorrect
CORRECT!
Due to the risks involved Trombolysis is reserved for patients who are peri-arrest. This is usually due to a large pulmonary embolism. Smaller PEs are treated with anticoagulation.
5) Treatment with heparin is usually given for at least 3 months.
Incorrect
CORRECT!
Patients are usually given at least 3 months of anticoagulation (depending on their circumstances) but this is usually given as Warfarin, as it is taken orally, where heparin is administered subcutaneously.
