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General Medicine · Venous thromboembolism
Sample itemWhich symptom combination is most suggestive of deep-vein thrombosis in one leg?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Unilateral calf swelling and tenderness
Deep-vein thrombosis commonly causes unilateral limb swelling, tenderness, warmth, and pitting oedema, although symptoms are nonspecific and objective testing is required because pulmonary embolism is a serious complication.
Option by option
A. Bilateral hand tremor after caffeine
Caffeine-related tremor does not indicate venous thrombosis.
B. Intermittent tinnitus
Tinnitus is an auditory symptom without DVT specificity.
C. Painless jaundice
Jaundice points toward hepatobiliary or haemolytic disease.
D. Unilateral calf swelling and tenderness (correct)
Correct: unilateral painful swelling is a classic DVT presentation.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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