Stomach: Dieulafoy lesion: 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.

Try it

General Surgery · Stomach: Dieulafoy lesion

Sample item

A man has recurrent massive upper GI bleeding. At endoscopy a small mucosal defect with a spurting vessel is seen in the proximal stomach without a surrounding ulcer. What is the likely lesion?

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

The answer and the reasoning

C. Dieulafoy lesion

Dieulafoy lesion is an abnormally large submucosal artery that erodes through a tiny mucosal defect, usually on the lesser curve near the cardia. It can cause recurrent torrential haemorrhage and is hard to find. Endoscopic clips or banding usually control it, with angio-embolisation or wedge resection as backups.

Option by option

  • A. Gastric adenocarcinoma

    Carcinoma presents with a mass or ulcer.

  • B. Mallory-Weiss tear

    Mallory-Weiss tear is a mucosal laceration at the cardia after retching.

  • C. Dieulafoy lesion (correct)

    Correct. A spurting vessel without an ulcer is characteristic.

  • D. Menetrier disease

    Menetrier disease involves giant gastric folds and protein loss.

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 C, Dieulafoy lesion. Dieulafoy lesion is an abnormally large submucosal artery that erodes through a tiny mucosal defect, usually on the lesser curve near the cardia.

Why is "Gastric adenocarcinoma" not the answer?

Carcinoma presents with a mass or ulcer.

Why is "Mallory-Weiss tear" not the answer?

Mallory-Weiss tear is a mucosal laceration at the cardia after retching.

Why is "Menetrier disease" not the answer?

Menetrier disease involves giant gastric folds and protein loss.

What concept does this question test?

It tests Stomach: Dieulafoy lesion in General Surgery. It can cause recurrent torrential haemorrhage and is hard to find. Endoscopic clips or banding usually control it, with angio-embolisation or wedge resection as backups.

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 Stomach: Dieulafoy lesion?

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.