STI: post-gonococcal urethral stricture: 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: post-gonococcal urethral stricture

Sample item

A man treated inadequately for a purulent urethral discharge years ago now has a thin, deflected urinary stream and incomplete emptying. A urethrogram shows a fixed narrowing of the bulbar urethra. What is the most likely cause?

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

The answer and the reasoning

D. Fibrosis after chronic gonococcal urethritis

Chronic gonococcal urethritis can heal with fibrosis, causing a urethral stricture years later. This is a classic late complication of neglected gonorrhoea.

Option by option

  • A. Benign prostatic hyperplasia

    BPH causes prostatic outflow obstruction and not a fixed bulbar narrowing.

  • B. A urethral calculus

    A calculus would give an intermittent stream and pain, with a filling defect.

  • C. Neurogenic bladder

    A neurogenic bladder does not produce a fixed bulbar narrowing.

  • D. Fibrosis after chronic gonococcal urethritis (correct)

    Correct. Scarring after untreated gonococcal urethritis produces a stricture.

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 D, Fibrosis after chronic gonococcal urethritis. Chronic gonococcal urethritis can heal with fibrosis, causing a urethral stricture years later.

Why is "Benign prostatic hyperplasia" not the answer?

BPH causes prostatic outflow obstruction and not a fixed bulbar narrowing.

Why is "A urethral calculus" not the answer?

A calculus would give an intermittent stream and pain, with a filling defect.

Why is "Neurogenic bladder" not the answer?

A neurogenic bladder does not produce a fixed bulbar narrowing.

What concept does this question test?

It tests STI: post-gonococcal urethral stricture in Dermatology. This is a classic late complication of neglected gonorrhoea.

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: post-gonococcal urethral stricture?

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.