Vascular surgery: chronic venous 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: chronic venous disease

Sample item

A patient has ankle edema, hemosiderin staining in the gaiter area, and a shallow irregular ulcer above the medial malleolus. What is the likely ulcer type?

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

The answer and the reasoning

B. Venous leg ulcer

Venous hypertension causes edema, hemosiderin deposition, lipodermatosclerosis, and shallow exudative ulcers in the gaiter region. Arterial assessment is necessary before compression therapy.

Option by option

  • A. Arterial ulcer

    Arterial ulcers are often distal, punched out, and painful with reduced pulses.

  • B. Venous leg ulcer (correct)

    Correct. Medial gaiter ulcer with venous skin changes is characteristic.

  • C. Neuropathic ulcer

    Neuropathic ulcers occur at pressure points in insensate feet.

  • D. Pressure ulcer

    Pressure ulcers occur over bony prominences from sustained pressure.

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.

More General Surgery questions

Questions about this General Surgery question

What is the answer to this General Surgery question?

The best answer is B, Venous leg ulcer. Venous hypertension causes edema, hemosiderin deposition, lipodermatosclerosis, and shallow exudative ulcers in the gaiter region.

Why is "Arterial ulcer" not the answer?

Arterial ulcers are often distal, punched out, and painful with reduced pulses.

Why is "Neuropathic ulcer" not the answer?

Neuropathic ulcers occur at pressure points in insensate feet.

Why is "Pressure ulcer" not the answer?

Pressure ulcers occur over bony prominences from sustained pressure.

What concept does this question test?

It tests Vascular surgery: chronic venous disease in General Surgery. Arterial assessment is necessary before compression therapy.

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 venous 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.