Anorectal: second degree haemorrhoids: 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 · Anorectal: second degree haemorrhoids

Sample item

A 40-year-old has painless bright red bleeding after defaecation, and piles that prolapse on straining and reduce spontaneously. What is a suitable office treatment?

AHaemorrhoidectomy as the first stepBLateral internal sphincterotomyCRubber band ligationDIncision and drainage

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

The answer and the reasoning

C. Rubber band ligation

Second degree haemorrhoids prolapse and reduce spontaneously and are managed by dietary fibre first, then rubber band ligation if symptoms persist. Surgery is used for large grade III and IV piles or failure of banding. Band ligation is applied above the dentate line where there is no somatic pain sensation.

Option by option

A. Haemorrhoidectomy as the first step
Haemorrhoidectomy is more morbid and kept for advanced piles.
B. Lateral internal sphincterotomy
Sphincterotomy treats fissure.
C. Rubber band ligation (correct)
Correct. Banding is effective for grade I to II and selected III piles.
D. Incision and drainage
Drainage is for abscess.

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.

Questions about this General Surgery question

What is the answer to this General Surgery question?

The best answer is C, Rubber band ligation. Second degree haemorrhoids prolapse and reduce spontaneously and are managed by dietary fibre first, then rubber band ligation if symptoms persist.

Why is "Haemorrhoidectomy as the first step" not the answer?

Haemorrhoidectomy is more morbid and kept for advanced piles.

Why is "Lateral internal sphincterotomy" not the answer?

Sphincterotomy treats fissure.

Why is "Incision and drainage" not the answer?

Drainage is for abscess.

What concept does this question test?

It tests Anorectal: second degree haemorrhoids in General Surgery. Surgery is used for large grade III and IV piles or failure of banding. Band ligation is applied above the dentate line where there is no somatic pain sensation.

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 Anorectal: second degree haemorrhoids?

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.