What activity restriction is given for someone with an enlarged spleen?

• A. No contact or strenuous activity
• B. Full contact
• C. Medical clearance
• D. Not specified

Answer: (A)

With an enlarged spleen, the risk of splenic rupture after even minor trauma is a major concern. The restriction aims to minimize any impact to the abdomen and reduce the chance of serious internal bleeding. Therefore, not engaging in contact or strenuous activities is the most appropriate protection—it keeps the body from collisions, heavy lifting, or intense exertion that could stress the spleen.

Choosing full contact would increase the risk of blunt abdominal injury to the spleen, which is why it’s not appropriate. Saying medical clearance is required introduces a step beyond a specific activity restriction; while medical clearance may come into play in medical management, the explicit restriction described here is the simple avoidance of contact and strenuous activity. Not specified would ignore the clear safety guidance given for splenomegaly.