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* 1. Are you a practicing physician?

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* 2. Thrombosis and hemostasis is my primary area of clinical interest

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* 3. My professional status is:

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* 4. I practice in:

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* 5. FOR THE REMAINDER OF THE SURVEY PLEASE INDICATE WHETHER YOU WOULD ROUTINELY RECOMMEND THROMBOPHILIA TESTING FOR EACH CLINICAL SCENARIO

      A 41 year old man healthy, with no family history of thrombosis who has an unprovoked proximal deep vein thrombosis

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* 6. A 76 year old woman with a provoked proximal deep vein thrombosis after hip surgery

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* 7. A 34 year old woman on a combined oral contraceptive for 5 years who develops a proximal deep vein thrombosis

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* 8. A 54 year old woman before transdermal hormone replacement therapy with a history of proximal deep vein thrombosis while receiving treatment for colon cancer 5 years earlier

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* 9. A 38 year old woman on a combined oral contraceptive who has a cerebral sinus vein thrombosis

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* 10. A 51 year old man with no risk factors who has an ischemic stroke

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* 11. A 65 year-old woman with no risk factors for atherosclerosis who has a branch retinal vein occlusion

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* 12. A 33 year-old healthy man who has a central retinal vein occlusion

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* 13. A 36 year old woman with intermittent paresthesia of her left side and white matter changes on brain MRI consistent with "small vessel occlusion or demyelination".

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* 14. A 41 year old man who has a CVA and has a patent foramen ovale

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* 15. A 24 year-old woman who delivered an infant after her third pregnancy on the 3rd percentile for weight at full term

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* 16. A 38 year old woman who is planning a pregnancy and had a placental abruption in a previous pregnancy

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* 17. A 28 year old woman who had severe preeclampsia in a second pregnancy delivered by emergency Cesarean section at 32 weeks

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* 18. A 34 year old woman who has a history of 3 unexplained first trimester miscarriages, before starting a combined oral contraceptive

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* 19. A 24 year old woman, whose mother had unexplained recurrent first trimester losses, before starting a combined oral contraceptive

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* 20. A 33 year old woman whose father had an unprovoked pulmonary embolus at age 40 years, before starting a combined oral contraceptive

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* 21. A 21 year old woman whose brother died suddenly aged 26 years, before starting a combined oral contraceptive pill

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* 22. A 25 year old woman who suffers from migraine with aura, before starting a combined oral contraceptive

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* 23. A 36 year old woman undergoing in vitro fertilization who has had multiple implantation failures

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* 24. In which of the following cases do you routinely order the following tests?

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