Urology: vesicoureteric reflux: 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: vesicoureteric reflux

Sample item

A child with recurrent febrile UTIs has grade III reflux on voiding cystourethrography. What is the usual initial management?

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

The answer and the reasoning

D. Continuous low-dose antibiotic prophylaxis with surveillance

Reflux is graded I to V on MCUG. Many low-grade cases resolve with growth and are managed by prophylaxis. Breakthrough infections, high grade reflux or renal scarring lead to endoscopic subureteric injection or ureteric reimplantation.

Option by option

  • A. Bladder augmentation

    Augmentation is for neuropathic bladder.

  • B. Immediate bilateral nephrectomy

    Nephrectomy is not indicated.

  • C. Ureteric stenting permanently

    Permanent stents cause infection.

  • D. Continuous low-dose antibiotic prophylaxis with surveillance (correct)

    Correct. Prophylaxis with monitoring is first-line.

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, Continuous low-dose antibiotic prophylaxis with surveillance. Reflux is graded I to V on MCUG.

Why is "Bladder augmentation" not the answer?

Augmentation is for neuropathic bladder.

Why is "Immediate bilateral nephrectomy" not the answer?

Nephrectomy is not indicated.

Why is "Ureteric stenting permanently" not the answer?

Permanent stents cause infection.

What concept does this question test?

It tests Urology: vesicoureteric reflux in General Surgery. Many low-grade cases resolve with growth and are managed by prophylaxis. Breakthrough infections, high grade reflux or renal scarring lead to endoscopic subureteric injection or ureteric reimplantation.

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: vesicoureteric reflux?

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.