Urological imaging: Fournier gangrene: practice question

A Radiology 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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Radiology · Urological imaging: Fournier gangrene

Sample item

A diabetic man has severe perineal pain, fever and crepitus over the scrotum. CT shows gas tracking along the fascial planes of the perineum and scrotum. What is the management?

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

The answer and the reasoning

A. Urgent surgical debridement with broad-spectrum antibiotics

Gas in the perineal fascia indicates necrotising fasciitis of the genitalia, called Fournier gangrene, which is a surgical emergency. Imaging may assist but must never delay debridement. Mortality rises with delay.

Option by option

  • A. Urgent surgical debridement with broad-spectrum antibiotics (correct)

    Correct. Debridement and antibiotics are urgent.

  • B. Outpatient oral antibiotics

    Oral antibiotics are inadequate for necrotising infection.

  • C. Repeat imaging after a week

    Waiting risks rapid spread and death.

  • D. Scrotal support and ice

    Support and ice do not treat infection.

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 Radiology question

What is the answer to this Radiology question?

The best answer is A, Urgent surgical debridement with broad-spectrum antibiotics. Gas in the perineal fascia indicates necrotising fasciitis of the genitalia, called Fournier gangrene, which is a surgical emergency.

Why is "Outpatient oral antibiotics" not the answer?

Oral antibiotics are inadequate for necrotising infection.

Why is "Repeat imaging after a week" not the answer?

Waiting risks rapid spread and death.

Why is "Scrotal support and ice" not the answer?

Support and ice do not treat infection.

What concept does this question test?

It tests Urological imaging: Fournier gangrene in Radiology. Imaging may assist but must never delay debridement. Mortality rises with delay.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. 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 Urological imaging: Fournier gangrene?

Learn signs with the image, and the disease they point to. Then use the flashcards and the other Radiology 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.