Vascular surgery: ruptured aneurysm: 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: ruptured aneurysm

Sample item

A patient with known abdominal aortic aneurysm has sudden back pain, collapse, and hypotension. What is the correct management principle?

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

The answer and the reasoning

C. Immediate resuscitation and urgent vascular-surgery pathway

Ruptured abdominal aortic aneurysm is a catastrophic hemorrhagic emergency. Resuscitation should be coordinated with immediate vascular assessment and definitive repair planning.

Option by option

  • A. Discharge after analgesia

    Discharge is unsafe in suspected rupture.

  • B. Wait for outpatient ultrasound

    Outpatient imaging delays life-saving intervention.

  • C. Immediate resuscitation and urgent vascular-surgery pathway (correct)

    Correct. Collapse with back pain in known aneurysm requires emergency vascular care.

  • D. Treat as simple lumbar strain

    Lumbar strain does not cause shock.

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, Immediate resuscitation and urgent vascular-surgery pathway. Ruptured abdominal aortic aneurysm is a catastrophic hemorrhagic emergency.

Why is "Discharge after analgesia" not the answer?

Discharge is unsafe in suspected rupture.

Why is "Wait for outpatient ultrasound" not the answer?

Outpatient imaging delays life-saving intervention.

Why is "Treat as simple lumbar strain" not the answer?

Lumbar strain does not cause shock.

What concept does this question test?

It tests Vascular surgery: ruptured aneurysm in General Surgery. Resuscitation should be coordinated with immediate vascular assessment and definitive repair planning.

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 Vascular surgery: ruptured aneurysm?

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.