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Unprovoked venous thromboembolism — USMLE Step 3 MCQ

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ModerateInternal Medicine (chronic management)Unprovoked venous thromboembolismUSMLE Step 3

A 48-year-old man completed 3 months of anticoagulation after a first unprovoked proximal deep vein thrombosis. He has low bleeding risk and wants to know whether to stop treatment. Which of the following would you recommend at the follow-up visit?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Discuss extended anticoagulation with periodic reassessment

Unprovoked proximal DVT has substantial recurrence risk; extended anticoagulation is often considered when bleeding risk is low.

Reference: CHEST venous thromboembolism guideline