Vascular surgery: Leriche syndrome: 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: Leriche syndrome

Sample item

A 55-year-old smoker has fatigue and cramping in both buttocks and thighs on walking, difficulty maintaining erections and absent femoral pulses on both sides. What is the diagnosis?

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

The answer and the reasoning

B. Aortoiliac occlusive disease (Leriche syndrome)

Terminal aortic occlusion causes bilateral buttock and thigh claudication, erectile failure and absent femoral pulses. Femoropopliteal disease causes calf claudication with palpable femoral pulses.

Option by option

  • A. Femoropopliteal disease

    Femoropopliteal disease affects the calf and leaves the femoral pulses intact.

  • B. Aortoiliac occlusive disease (Leriche syndrome) (correct)

    Correct. This triad indicates aortoiliac occlusion.

  • C. Buerger disease of the feet

    Buerger disease affects distal small and medium arteries of the limbs.

  • D. Lumbar canal stenosis

    Canal stenosis gives neurogenic claudication with preserved pulses.

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 B, Aortoiliac occlusive disease (Leriche syndrome). Terminal aortic occlusion causes bilateral buttock and thigh claudication, erectile failure and absent femoral pulses.

Why is "Femoropopliteal disease" not the answer?

Femoropopliteal disease affects the calf and leaves the femoral pulses intact.

Why is "Buerger disease of the feet" not the answer?

Buerger disease affects distal small and medium arteries of the limbs.

Why is "Lumbar canal stenosis" not the answer?

Canal stenosis gives neurogenic claudication with preserved pulses.

What concept does this question test?

It tests Vascular surgery: Leriche syndrome in General Surgery. Femoropopliteal disease causes calf claudication with palpable femoral pulses.

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: Leriche syndrome?

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.