Inflammation and repair: exuberant granulation tissue: practice question

A Pathology 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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Pathology · Inflammation and repair: exuberant granulation tissue

Sample item

A chronic leg wound has a raised, beefy-red, friable mass of granulation tissue projecting above the level of the surrounding skin and preventing the edges from epithelialising. What is this called?

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

The answer and the reasoning

A. Exuberant granulation tissue

Excessive granulation tissue protrudes above the wound surface and blocks migration of epithelium, delaying healing. It is treated by cautery or excision so that re-epithelialisation can occur. A keloid and a hypertrophic scar are excessive collagen deposits in a scar after healing, not granulation tissue.

Option by option

  • A. Exuberant granulation tissue (correct)

    Correct. Overgrown granulation tissue blocks epithelial migration and must be removed.

  • B. Keloid

    A keloid is a scar of excess collagen that grows beyond the wound margins.

  • C. Hypertrophic scar

    A hypertrophic scar is excess collagen confined to the original wound.

  • D. Desmoid tumour

    A desmoid tumour is a fibromatosis that infiltrates deep tissues and is not granulation.

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 Pathology question

What is the answer to this Pathology question?

The best answer is A, Exuberant granulation tissue. Excessive granulation tissue protrudes above the wound surface and blocks migration of epithelium, delaying healing.

Why is "Keloid" not the answer?

A keloid is a scar of excess collagen that grows beyond the wound margins.

Why is "Hypertrophic scar" not the answer?

A hypertrophic scar is excess collagen confined to the original wound.

Why is "Desmoid tumour" not the answer?

A desmoid tumour is a fibromatosis that infiltrates deep tissues and is not granulation.

What concept does this question test?

It tests Inflammation and repair: exuberant granulation tissue in Pathology. It is treated by cautery or excision so that re-epithelialisation can occur. A keloid and a hypertrophic scar are excessive collagen deposits in a scar after healing, not granulation tissue.

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 Inflammation and repair: exuberant granulation tissue?

Learn each disease as a bundle: cause, key histology, markers, and the clinical hallmark. Then use the flashcards and the other Pathology 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.