Trauma: splenic injury: 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 · Trauma: splenic injury

Sample item

A haemodynamically stable patient with blunt splenic injury and no peritonitis is commonly managed how?

ANon-operatively with close observationBImmediate splenectomy in every caseCDischarge without imagingDOral antibiotics only

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

The answer and the reasoning

A. Non-operatively with close observation

Stable blunt splenic injuries are often managed non-operatively with imaging, serial examination and monitoring. Instability or ongoing bleeding changes management.

Option by option

A. Non-operatively with close observation (correct)
Correct. Stability permits selective non-operative management.
B. Immediate splenectomy in every case
Splenectomy is reserved for selected injuries or instability.
C. Discharge without imaging
Observation requires an appropriate monitored setting.
D. Oral antibiotics only
Antibiotics alone do not manage haemorrhage.

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.

Questions about this General Surgery question

What is the answer to this General Surgery question?

The best answer is A, Non-operatively with close observation. Stable blunt splenic injuries are often managed non-operatively with imaging, serial examination and monitoring.

Why is "Immediate splenectomy in every case" not the answer?

Splenectomy is reserved for selected injuries or instability.

Why is "Discharge without imaging" not the answer?

Observation requires an appropriate monitored setting.

Why is "Oral antibiotics only" not the answer?

Antibiotics alone do not manage haemorrhage.

What concept does this question test?

It tests Trauma: splenic injury in General Surgery. Instability or ongoing bleeding changes management.

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 Trauma: splenic injury?

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.