Small bowel: Crohn disease surgery: 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 · Small bowel: Crohn disease surgery

Sample item

A patient with Crohn disease has several short fibrotic strictures in the jejunum and a history of ileal resection. Which operation conserves bowel length?

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

The answer and the reasoning

A. Strictureplasty

Strictureplasty widens fibrotic strictures without removing bowel and is valuable in diffuse disease or short bowel risk. Resection is used for long or complicated segments. Surgery in Crohn disease is not curative, so the aim is to preserve length.

Option by option

  • A. Strictureplasty (correct)

    Correct. Strictureplasty preserves absorptive length.

  • B. Total proctocolectomy

    Proctocolectomy is not relevant to small bowel strictures.

  • C. Extended right hemicolectomy

    Colectomy does not address jejunal strictures.

  • D. Bypass of the whole small intestine

    A full bypass would cause severe malabsorption.

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 A, Strictureplasty. Strictureplasty widens fibrotic strictures without removing bowel and is valuable in diffuse disease or short bowel risk.

Why is "Total proctocolectomy" not the answer?

Proctocolectomy is not relevant to small bowel strictures.

Why is "Extended right hemicolectomy" not the answer?

Colectomy does not address jejunal strictures.

Why is "Bypass of the whole small intestine" not the answer?

A full bypass would cause severe malabsorption.

What concept does this question test?

It tests Small bowel: Crohn disease surgery in General Surgery. Resection is used for long or complicated segments. Surgery in Crohn disease is not curative, so the aim is to preserve length.

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 Small bowel: Crohn disease surgery?

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.