Colorectal surgery: 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 · Colorectal surgery

Sample item

What is the immediate management priority for a prolapsed rectum that appears dusky and painful?

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

The answer and the reasoning

A. Urgent surgical assessment for possible ischemia

A painful dusky prolapse may have impaired perfusion or become incarcerated, so urgent surgical assessment is needed; uncomplicated prolapse is managed differently and often requires longer-term pelvic-floor and operative planning.

Option by option

  • A. Urgent surgical assessment for possible ischemia (correct)

    Correct: colour change and pain raise concern for compromised tissue.

  • B. Apply ear drops

    Ear drops have no role in anorectal prolapse.

  • C. Arrange routine visual-field testing

    Visual-field testing is unrelated to this surgical presentation.

  • D. Advise a high-fibre diet only

    Dietary advice alone is insufficient when ischemia is possible.

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, Urgent surgical assessment for possible ischemia. A painful dusky prolapse may have impaired perfusion or become incarcerated, so urgent surgical assessment is needed; uncomplicated prolapse is managed differently and often requires longer-term pelvic-floor and operative planning.

Why is "Apply ear drops" not the answer?

Ear drops have no role in anorectal prolapse.

Why is "Arrange routine visual-field testing" not the answer?

Visual-field testing is unrelated to this surgical presentation.

Why is "Advise a high-fibre diet only" not the answer?

Dietary advice alone is insufficient when ischemia is possible.

What concept does this question test?

It tests Colorectal surgery in General Surgery. The correct option holds because: Correct: colour change and pain raise concern for compromised tissue.

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 Colorectal surgery?

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.