Surgical infection: necrotising fasciitis: 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 · Surgical infection: necrotising fasciitis

Sample item

Rapidly progressive severe pain out of proportion to skin findings with systemic toxicity should raise concern for what?

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

The answer and the reasoning

C. Necrotising fasciitis

Necrotising soft-tissue infection can advance along fascial planes with early disproportionate pain, toxicity and later skin necrosis. Urgent surgical debridement and antibiotics are required.

Option by option

  • A. Contact dermatitis

    Dermatitis does not cause septic toxicity.

  • B. Lipoma

    Lipoma is benign and slow growing.

  • C. Necrotising fasciitis (correct)

    Correct. Pain out of proportion is an early warning sign.

  • D. Simple cellulitis

    Cellulitis is usually more superficial and less fulminant.

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 C, Necrotising fasciitis. Necrotising soft-tissue infection can advance along fascial planes with early disproportionate pain, toxicity and later skin necrosis.

Why is "Contact dermatitis" not the answer?

Dermatitis does not cause septic toxicity.

Why is "Lipoma" not the answer?

Lipoma is benign and slow growing.

Why is "Simple cellulitis" not the answer?

Cellulitis is usually more superficial and less fulminant.

What concept does this question test?

It tests Surgical infection: necrotising fasciitis in General Surgery. Urgent surgical debridement and antibiotics are required.

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 Surgical infection: necrotising fasciitis?

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.