STI: management of a chancroid bubo: practice question

A Dermatology 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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Dermatology · STI: management of a chancroid bubo

Sample item

A man with chancroid has a tender, fluctuant inguinal bubo that threatens to rupture despite antibiotics. Which approach is preferred?

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

The answer and the reasoning

A. Needle aspiration through adjacent healthy skin

Fluctuant buboes of chancroid are best drained by needle aspiration through normal skin, which relieves pain and avoids sinus formation. Incision and drainage prolongs healing and risks chronic sinuses.

Option by option

  • A. Needle aspiration through adjacent healthy skin (correct)

    Correct. Aspiration through intact skin is the preferred way to decompress the bubo.

  • B. Immobilisation alone without any aspiration

    A fluctuant bubo that threatens to rupture needs decompression and not observation alone.

  • C. Surgical excision of the node group

    Excision of the node group is not needed and causes lymphatic complications.

  • D. Wide incision and drainage

    Wide incision and drainage delays healing and may leave a chronic sinus.

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 Dermatology question

What is the answer to this Dermatology question?

The best answer is A, Needle aspiration through adjacent healthy skin. Fluctuant buboes of chancroid are best drained by needle aspiration through normal skin, which relieves pain and avoids sinus formation.

Why is "Immobilisation alone without any aspiration" not the answer?

A fluctuant bubo that threatens to rupture needs decompression and not observation alone.

Why is "Surgical excision of the node group" not the answer?

Excision of the node group is not needed and causes lymphatic complications.

Why is "Wide incision and drainage" not the answer?

Wide incision and drainage delays healing and may leave a chronic sinus.

What concept does this question test?

It tests STI: management of a chancroid bubo in Dermatology. Incision and drainage prolongs healing and risks chronic sinuses.

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 STI: management of a chancroid bubo?

Learn each condition by its primary lesion, site and signature sign. Then use the flashcards and the other Dermatology 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.