Vascular surgery: carotid disease: 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: carotid disease

Sample item

A patient has transient unilateral weakness and carotid ultrasound shows symptomatic severe internal carotid stenosis. Which management may reduce future stroke risk in appropriate patients?

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

The answer and the reasoning

D. Carotid endarterectomy

Selected patients with symptomatic significant carotid stenosis benefit from carotid endarterectomy in addition to best medical therapy. Timing and suitability require specialist vascular and stroke assessment.

Option by option

  • A. Thyroidectomy

    Thyroidectomy is unrelated.

  • B. Varicose-vein stripping

    Varicose-vein surgery does not address carotid embolic risk.

  • C. Appendectomy

    Appendectomy treats appendicitis.

  • D. Carotid endarterectomy (correct)

    Correct. Endarterectomy removes the atherosclerotic carotid plaque.

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 D, Carotid endarterectomy. Selected patients with symptomatic significant carotid stenosis benefit from carotid endarterectomy in addition to best medical therapy.

Why is "Thyroidectomy" not the answer?

Thyroidectomy is unrelated.

Why is "Varicose-vein stripping" not the answer?

Varicose-vein surgery does not address carotid embolic risk.

Why is "Appendectomy" not the answer?

Appendectomy treats appendicitis.

What concept does this question test?

It tests Vascular surgery: carotid disease in General Surgery. Timing and suitability require specialist vascular and stroke assessment.

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: carotid disease?

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.