Paediatric surgery: congenital pulmonary airway malformation: 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 · Paediatric surgery: congenital pulmonary airway malformation

Sample item

A 6-month-old has recurrent chest infections at the same site. Chest CT shows a multicystic mass in the right lower lobe with a normal systemic blood supply. What is the best treatment?

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

The answer and the reasoning

D. Surgical lobectomy

A congenital pulmonary airway malformation communicates with the airway, causing infection and carrying a small risk of malignancy, so symptomatic lesions are resected by lobectomy. A systemic feeding vessel would point instead to sequestration.

Option by option

  • A. Prolonged antibiotics only

    Antibiotics do not remove the abnormal tissue.

  • B. Chest drain insertion

    A drain is for fluid collections or pneumothorax.

  • C. Bronchial artery embolisation

    Embolisation treats a systemic feeding vessel, which is absent here.

  • D. Surgical lobectomy (correct)

    Correct. Resection prevents recurrent infection and long-term risk.

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, Surgical lobectomy. A congenital pulmonary airway malformation communicates with the airway, causing infection and carrying a small risk of malignancy, so symptomatic lesions are resected by lobectomy.

Why is "Prolonged antibiotics only" not the answer?

Antibiotics do not remove the abnormal tissue.

Why is "Chest drain insertion" not the answer?

A drain is for fluid collections or pneumothorax.

Why is "Bronchial artery embolisation" not the answer?

Embolisation treats a systemic feeding vessel, which is absent here.

What concept does this question test?

It tests Paediatric surgery: congenital pulmonary airway malformation in General Surgery. A systemic feeding vessel would point instead to sequestration.

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 Paediatric surgery: congenital pulmonary airway malformation?

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.