Foot infections: mycetoma: practice question

A Orthopaedics 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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Orthopaedics · Foot infections: mycetoma

Sample item

A farmer walks barefoot and has a painless swollen foot with multiple discharging sinuses releasing granules. Which diagnosis fits?

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

The answer and the reasoning

B. Madura foot (mycetoma)

Mycetoma is a chronic granulomatous infection by fungi (eumycetoma) or actinomycetes (actinomycetoma) after implantation through a thorn prick, with swelling, sinuses and grains. Bone destruction and a dot-in-circle sign on MRI may be seen.

Option by option

  • A. Plantar fibromatosis

    Plantar fibromatosis causes nodules without sinuses.

  • B. Madura foot (mycetoma) (correct)

    Correct. Swelling, sinuses and grains describe Madura foot.

  • C. Diabetic ulcer

    Diabetic ulcers are not associated with grain discharge.

  • D. Charcot foot

    Charcot foot is neuropathic joint destruction without grains.

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 Orthopaedics questions

Questions about this Orthopaedics question

What is the answer to this Orthopaedics question?

The best answer is B, Madura foot (mycetoma). Mycetoma is a chronic granulomatous infection by fungi (eumycetoma) or actinomycetes (actinomycetoma) after implantation through a thorn prick, with swelling, sinuses and grains.

Why is "Plantar fibromatosis" not the answer?

Plantar fibromatosis causes nodules without sinuses.

Why is "Diabetic ulcer" not the answer?

Diabetic ulcers are not associated with grain discharge.

Why is "Charcot foot" not the answer?

Charcot foot is neuropathic joint destruction without grains.

What concept does this question test?

It tests Foot infections: mycetoma in Orthopaedics. Bone destruction and a dot-in-circle sign on MRI may be seen.

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 Foot infections: mycetoma?

Pair each fracture with its classic complication and nerve injured. Then use the flashcards and the other Orthopaedics 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.