Paediatric surgery: juvenile polyp: 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: juvenile polyp

Sample item

A 4-year-old child passes bright red blood with stools without pain or systemic upset. A smooth rounded reddish rectal polyp is felt. What is the usual diagnosis and treatment?

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

The answer and the reasoning

C. Juvenile polyp needing endoscopic polypectomy

A solitary juvenile polyp, a hamartomatous lesion, is the commonest cause of painless rectal bleeding in this age group, and polypectomy is curative. FAP presents later with many adenomas.

Option by option

  • A. Familial adenomatous polyposis needing colectomy

    FAP shows hundreds of adenomas and appears in adolescence.

  • B. Haemorrhoids needing banding

    Haemorrhoids are uncommon in children.

  • C. Juvenile polyp needing endoscopic polypectomy (correct)

    Correct. A single smooth polyp with painless bleeding in a toddler is a juvenile polyp.

  • D. Anal fissure needing sphincterotomy

    A fissure is painful and not a polyp.

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 C, Juvenile polyp needing endoscopic polypectomy. A solitary juvenile polyp, a hamartomatous lesion, is the commonest cause of painless rectal bleeding in this age group, and polypectomy is curative.

Why is "Familial adenomatous polyposis needing colectomy" not the answer?

FAP shows hundreds of adenomas and appears in adolescence.

Why is "Haemorrhoids needing banding" not the answer?

Haemorrhoids are uncommon in children.

Why is "Anal fissure needing sphincterotomy" not the answer?

A fissure is painful and not a polyp.

What concept does this question test?

It tests Paediatric surgery: juvenile polyp in General Surgery. FAP presents later with many adenomas.

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 Paediatric surgery: juvenile polyp?

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.