Urology: Fournier gangrene: 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 · Urology: Fournier gangrene

Sample item

A diabetic man has severe scrotal pain, crepitus, dusky skin, fever and hypotension. What is the correct treatment?

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

The answer and the reasoning

D. Broad-spectrum antibiotics, resuscitation and urgent surgical debridement

Fournier gangrene is necrotising fasciitis of the perineum and genitalia, polymicrobial and rapidly progressive, particularly in diabetics. Early radical debridement with broad-spectrum antibiotics covering aerobes, anaerobes and Gram negatives reduces mortality. Repeated debridement is often needed, with possible diversion.

Option by option

  • A. Scrotal support and analgesia

    Conservative care allows spread.

  • B. Incision and drainage only once

    A single drainage is rarely adequate.

  • C. Oral antibiotics and review

    Oral therapy is inadequate for necrotising infection.

  • D. Broad-spectrum antibiotics, resuscitation and urgent surgical debridement (correct)

    Correct. Debridement and antibiotics are life saving.

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.

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Questions about this General Surgery question

What is the answer to this General Surgery question?

The best answer is D, Broad-spectrum antibiotics, resuscitation and urgent surgical debridement. Fournier gangrene is necrotising fasciitis of the perineum and genitalia, polymicrobial and rapidly progressive, particularly in diabetics.

Why is "Scrotal support and analgesia" not the answer?

Conservative care allows spread.

Why is "Incision and drainage only once" not the answer?

A single drainage is rarely adequate.

Why is "Oral antibiotics and review" not the answer?

Oral therapy is inadequate for necrotising infection.

What concept does this question test?

It tests Urology: Fournier gangrene in General Surgery. Early radical debridement with broad-spectrum antibiotics covering aerobes, anaerobes and Gram negatives reduces mortality. Repeated debridement is often needed, with possible diversion.

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 Urology: Fournier gangrene?

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.