Vascular surgery: pseudoaneurysm: 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 · Vascular surgery: pseudoaneurysm

Sample item

A man develops a painful pulsatile groin swelling with a systolic bruit two days after cardiac catheterisation via the femoral artery. Duplex shows a neck connecting the swelling to the artery. What is a suitable treatment?

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

The answer and the reasoning

B. Ultrasound-guided thrombin injection or surgical repair

A femoral pseudoaneurysm is a contained arterial wall breach with blood collecting in the surrounding tissue. Ultrasound-guided thrombin injection thromboses small-necked sacs, while larger or complicated ones need surgical or endovascular repair. Incision risks catastrophic haemorrhage.

Option by option

  • A. Incision and drainage

    Drainage is dangerous as it is an arterial lesion.

  • B. Ultrasound-guided thrombin injection or surgical repair (correct)

    Correct. Thrombin injection or repair are standard.

  • C. Reassurance and discharge

    Untreated pseudoaneurysms can rupture or embolise.

  • D. Antibiotics alone

    Antibiotics do not treat the defect.

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 B, Ultrasound-guided thrombin injection or surgical repair. A femoral pseudoaneurysm is a contained arterial wall breach with blood collecting in the surrounding tissue.

Why is "Incision and drainage" not the answer?

Drainage is dangerous as it is an arterial lesion.

Why is "Reassurance and discharge" not the answer?

Untreated pseudoaneurysms can rupture or embolise.

Why is "Antibiotics alone" not the answer?

Antibiotics do not treat the defect.

What concept does this question test?

It tests Vascular surgery: pseudoaneurysm in General Surgery. Ultrasound-guided thrombin injection thromboses small-necked sacs, while larger or complicated ones need surgical or endovascular repair. Incision risks catastrophic haemorrhage.

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 Vascular surgery: pseudoaneurysm?

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.