Special anaesthesia: hip fracture surgery: practice question

A Anaesthesia 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.

Try it

Anaesthesia · Special anaesthesia: hip fracture surgery

Sample item

An 82-year-old woman with a hip fracture is medically stable. What is the recommended timing of surgery?

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

The answer and the reasoning

C. Within 24 to 48 hours of admission

Early surgery within 24 to 48 hours reduces pain, complications and mortality in hip fracture patients. Optimisation of reversible problems should not cause long delays. Spinal and general anaesthesia give similar outcomes, and peripheral nerve blocks such as fascia iliaca help analgesia.

Option by option

  • A. Only after she has been mobilised

    Mobilisation before surgery is not possible and is not a condition for operating.

  • B. After 2 weeks of optimisation

    A 2-week delay increases pressure sores, pneumonia and mortality.

  • C. Within 24 to 48 hours of admission (correct)

    Correct. Surgery within 24 to 48 hours improves outcomes.

  • D. After 7 days of bed rest

    Bed rest for a week increases complications.

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 Anaesthesia questions

Questions about this Anaesthesia question

What is the answer to this Anaesthesia question?

The best answer is C, Within 24 to 48 hours of admission. Early surgery within 24 to 48 hours reduces pain, complications and mortality in hip fracture patients.

Why is "Only after she has been mobilised" not the answer?

Mobilisation before surgery is not possible and is not a condition for operating.

Why is "After 2 weeks of optimisation" not the answer?

A 2-week delay increases pressure sores, pneumonia and mortality.

Why is "After 7 days of bed rest" not the answer?

Bed rest for a week increases complications.

What concept does this question test?

It tests Special anaesthesia: hip fracture surgery in Anaesthesia. Optimisation of reversible problems should not cause long delays. Spinal and general anaesthesia give similar outcomes, and peripheral nerve blocks such as fascia iliaca help analgesia.

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 Special anaesthesia: hip fracture surgery?

Make a table of each agent, its key advantage and its main side effect. Then use the flashcards and the other Anaesthesia 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.