Vascular surgery: post-thrombotic syndrome: practice question

A General Surgery question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

Try it

General Surgery · Vascular surgery: post-thrombotic syndrome

Sample item

Two years after an iliofemoral DVT, a patient has chronic leg heaviness, swelling and pigmentation. What is the mechanism and mainstay of care?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Venous valve destruction and obstruction; graduated compression stockings

Post-thrombotic syndrome follows valve damage and residual obstruction after DVT, causing venous hypertension. Compression, elevation and exercise are the mainstay, and severe iliac obstruction may be stented.

Option by option

  • A. Lymphatic fibrosis; Charles operation

    Lymphatic disease is a different process.

  • B. Arterial embolism; embolectomy

    There is no arterial embolism.

  • C. Cellulitis; long-term antibiotics

    Antibiotics do not treat chronic venous hypertension.

  • D. Venous valve destruction and obstruction; graduated compression stockings (correct)

    Correct. Valve damage causes venous hypertension.

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.

More General Surgery questions

Questions about this General Surgery question

What is the answer to this General Surgery question?

The best answer is D, Venous valve destruction and obstruction; graduated compression stockings. Post-thrombotic syndrome follows valve damage and residual obstruction after DVT, causing venous hypertension.

Why is "Lymphatic fibrosis; Charles operation" not the answer?

Lymphatic disease is a different process.

Why is "Arterial embolism; embolectomy" not the answer?

There is no arterial embolism.

Why is "Cellulitis; long-term antibiotics" not the answer?

Antibiotics do not treat chronic venous hypertension.

What concept does this question test?

It tests Vascular surgery: post-thrombotic syndrome in General Surgery. Compression, elevation and exercise are the mainstay, and severe iliac obstruction may be stented.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Vascular surgery: post-thrombotic syndrome?

Learn classic signs and eponyms alongside what they diagnose. Then use the flashcards and the other General Surgery questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.