A 72-Year-Old Man Is Brought to the Emergency Department Because

question 194

Multiple Choice

A 72-year-old man is brought to the emergency department because of sudden onset shortness of breath and sharp left-sided chest pain.  He denies fever, loss of consciousness, or orthopnea.  He was diagnosed with metastatic pancreatic cancer three months ago.
Examination reveals clear lungs with normal first and second heart sounds.  The abdomen is soft and non-tender.  There is trace edema involving the right leg.  Neurologic examination is within normal limits.
Laboratory results are as follows:

His chest-x ray is clear.  Ultrasound of the right leg shows a thrombus in the popliteal vein.  CT angiogram of the chest reveals bilateral pulmonary emboli.
Which of the following would be the most effective long-term treatment to prevent recurrent thromboembolism in this patient?

• A)Enoxaparin
• B)Unfractionated heparin
• C)Warfarin
• D)Warfarin and IVC filter

---

Definitions:

Market Value

The ongoing rate at which services or assets are being traded in the market.

Organization Costs

Costs incurred in the formation of a corporation.

Retained Earnings

Retained Earnings refer to the portion of net income left after dividends are paid out to shareholders, which is then reinvested in the company or used to pay down debt.

Intangible Asset

Assets that lack physical substance but are valuable because of the advantages or rights they provide to a business.