Vascular surgery: chronic limb-threatening ischemia: 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 · Vascular surgery: chronic limb-threatening ischemia

Sample item

A patient with diabetes has rest pain in the forefoot relieved by dangling the leg and a nonhealing toe ulcer. Which vascular syndrome is most likely?

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

The answer and the reasoning

A. Chronic limb-threatening ischemia

Rest pain, tissue loss, and nonhealing ulcers in peripheral arterial disease indicate chronic limb-threatening ischemia. It requires urgent vascular assessment to preserve limb viability.

Option by option

  • A. Chronic limb-threatening ischemia (correct)

    Correct. Ischemic rest pain and tissue loss define a threatened limb chronically.

  • B. Deep-vein thrombosis

    DVT causes swelling and pain but not ischemic toe ulceration.

  • C. Acute compartment syndrome

    Compartment syndrome follows raised compartment pressure, often after trauma, with pain on passive stretch.

  • D. Venous eczema

    Venous eczema is associated with edema and skin changes around the gaiter area.

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, Chronic limb-threatening ischemia. Rest pain, tissue loss, and nonhealing ulcers in peripheral arterial disease indicate chronic limb-threatening ischemia.

Why is "Deep-vein thrombosis" not the answer?

DVT causes swelling and pain but not ischemic toe ulceration.

Why is "Acute compartment syndrome" not the answer?

Compartment syndrome follows raised compartment pressure, often after trauma, with pain on passive stretch.

Why is "Venous eczema" not the answer?

Venous eczema is associated with edema and skin changes around the gaiter area.

What concept does this question test?

It tests Vascular surgery: chronic limb-threatening ischemia in General Surgery. It requires urgent vascular assessment to preserve limb viability.

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: chronic limb-threatening ischemia?

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.