American Board of Internal Medicine (ABIM) Certification Practice Exam

What defines nonextensive superficial venous thrombophlebitis?

1. Length less than 2 cm

2. Length less than 5 cm

3. Length greater than 5 cm

4. Near the deep venous system

The correct answer is: Length less than 5 cm

Nonextensive superficial venous thrombophlebitis is characterized by specific criteria related to the length of the thrombophlebitis. A condition is defined as 'nonextensive' when the length of the involved vein segment is less than 5 cm. This definition is clinically important because it helps differentiate between nonextensive superficial venous thrombophlebitis and more extensive cases that might require different management approaches. The designation of being 'nonextensive' generally indicates a limited, localized inflammatory process, which often carries a better prognosis and may necessitate less aggressive treatment compared to longer or more widespread thrombophlebitis. In contrast, a length less than 2 cm does not capture the broader category of nonextensive superficial venous thrombophlebitis, as it is a narrower criterion. Length greater than 5 cm would indicate extensive thrombophlebitis, which is outside the defined range for nonextensive cases. Lastly, the proximity to the deep venous system is more relevant for assessing potential complications or the risk of progression rather than defining nonextensive superficial venous thrombophlebitis itself. Therefore, the correct answer reflects the established threshold for categorizing the condition accurately.