American Board of Internal Medicine (ABIM) Certification Practice Exam

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What is the score used for assessing the likelihood of DVT?

  1. Wells Score

  2. CHA2DS2-VASc

  3. QATAR Score

  4. Framingham Score

The correct answer is: Wells Score

The Wells Score is a clinical decision tool specifically designed to assess the likelihood of deep vein thrombosis (DVT) in patients. This scoring system evaluates various clinical factors, including symptoms of DVT, alternative diagnoses, and risk factors such as recent immobilization or surgery. Each factor contributes points to arrive at a total score that categorizes the patient into low, moderate, or high risk for DVT. A higher score correlates with an increased probability of the presence of DVT, guiding further diagnostic testing and management. The Wells Score’s structured approach enables clinicians to make informed decisions regarding the need for further evaluation, such as ultrasound or D-dimer testing, streamlining patient care and improving outcomes. Other scoring systems mentioned serve different purposes; for instance, the CHA2DS2-VASc score is used for stroke risk assessment in patients with atrial fibrillation, the QATAR Score is pertinent to assessing acute coronary syndrome, and the Framingham Score estimates cardiovascular risk, highlighting the specificity of the Wells Score for DVT assessment.

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