Urology: IPSS and surgical indications in BPH: 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.

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General Surgery · Urology: IPSS and surgical indications in BPH

Sample item

Which is an absolute indication for surgery in benign prostatic hyperplasia?

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

The answer and the reasoning

A. Refractory urinary retention

IPSS ranges 0 to 35 (above 19 is severe). Surgery is indicated for refractory retention, recurrent UTI, bladder stones, recurrent haematuria and renal impairment from obstruction, or failure of medical therapy.

Option by option

  • A. Refractory urinary retention (correct)

    Correct. Refractory retention warrants surgery.

  • B. Mild nocturia

    Mild symptoms are managed conservatively.

  • C. A PSA of 2 ng/mL

    A normal PSA is not an indication.

  • D. A high IPSS with good response to tamsulosin

    A good response to drugs does not need surgery.

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.

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Questions about this General Surgery question

What is the answer to this General Surgery question?

The best answer is A, Refractory urinary retention. IPSS ranges 0 to 35 (above 19 is severe).

Why is "Mild nocturia" not the answer?

Mild symptoms are managed conservatively.

Why is "A PSA of 2 ng/mL" not the answer?

A normal PSA is not an indication.

Why is "A high IPSS with good response to tamsulosin" not the answer?

A good response to drugs does not need surgery.

What concept does this question test?

It tests Urology: IPSS and surgical indications in BPH in General Surgery. Surgery is indicated for refractory retention, recurrent UTI, bladder stones, recurrent haematuria and renal impairment from obstruction, or failure of medical therapy.

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 Urology: IPSS and surgical indications in BPH?

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.