Which of the following carries higher risk of DVT and pulmonary thromboembolsim: March 2013
## **Core Concept**
The question pertains to the risk factors associated with Deep Vein Thrombosis (DVT) and Pulmonary Thromboembolism (PTE). DVT and PTE are part of a spectrum of Venous Thromboembolism (VTE), which involves the formation of blood clots in the deep veins (DVT) that can dislodge and travel to the lungs, causing a blockage known as pulmonary embolism.
## **Why the Correct Answer is Right**
The correct answer, , implies that among the given options, one specific condition or scenario carries a higher risk of developing DVT and subsequently PTE. Although the specific options are not provided, generally, conditions or scenarios that significantly increase the risk of VTE include immobility, cancer, major surgery, history of previous VTE, and certain inherited or acquired thrombophilias. For instance, cancer patients, especially those with malignancies like pancreatic, brain, or lung cancer, have a higher risk due to the hypercoagulable state induced by tumor cells.
## **Why Each Wrong Option is Incorrect**
- **Option A:** This option might represent a condition or scenario with moderate or low risk for VTE. Without specifics, it's hard to detail, but generally, this could include minor surgeries, short hospital stays, or less significant immobility.
- **Option B:** Similarly, this might represent another condition with a lower risk profile compared to the correct answer. This could include certain types of minor trauma or less invasive medical procedures.
- **Option D:** This option could represent a condition with a risk profile similar to or lower than option A or B but still not as high as the correct answer.
## **Clinical Pearl / High-Yield Fact**
A key point to remember is that **immobility** and **cancer** are significant risk factors for VTE. Patients with cancer, particularly those undergoing chemotherapy or surgery for cancer, have a substantially increased risk of developing DVT and PTE. Prophylactic measures, including anticoagulation and mechanical prophylaxis (e.g., compression stockings or intermittent pneumatic compression devices), are often recommended for these high-risk patients.
## **Correct Answer: C.**