Vascular surgery: mycotic aneurysm: 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: mycotic aneurysm

Sample item

A patient with Salmonella bacteraemia has a saccular infected aortic aneurysm. What is the principle of treatment?

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

The answer and the reasoning

C. Prolonged antibiotics with resection and debridement, often with in-situ or extra-anatomic reconstruction

Mycotic aneurysms arise from infection of the arterial wall, commonly with Salmonella or Staphylococcus, and carry a high rupture rate. Treatment combines targeted antibiotics with excision and reconstruction.

Option by option

  • A. Stenting without antibiotics

    Foreign material without antibiotics risks graft infection.

  • B. Antibiotics alone for 1 week

    A short course will not eradicate infection.

  • C. Prolonged antibiotics with resection and debridement, often with in-situ or extra-anatomic reconstruction (correct)

    Correct. Source control and antibiotics are both needed.

  • D. Observation

    Rupture risk is high.

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 C, Prolonged antibiotics with resection and debridement, often with in-situ or extra-anatomic reconstruction. Mycotic aneurysms arise from infection of the arterial wall, commonly with Salmonella or Staphylococcus, and carry a high rupture rate.

Why is "Stenting without antibiotics" not the answer?

Foreign material without antibiotics risks graft infection.

Why is "Antibiotics alone for 1 week" not the answer?

A short course will not eradicate infection.

Why is "Observation" not the answer?

Rupture risk is high.

What concept does this question test?

It tests Vascular surgery: mycotic aneurysm in General Surgery. Treatment combines targeted antibiotics with excision and reconstruction.

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: mycotic aneurysm?

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.