Transfusion: cell salvage: 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 · Transfusion: cell salvage

Sample item

Which setting is a relative contraindication to intraoperative cell salvage?

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

The answer and the reasoning

C. Surgery in a field contaminated by bowel contents

Cell salvage reduces the need for allogeneic transfusion in orthopaedic, vascular and cardiac surgery. Bacterial contamination (for example, bowel contents) and malignancy have been relative contraindications because of the risk of reinfusing bacteria or tumour cells, although leucocyte filters can be used. Washing and filtration limit the risks in many settings.

Option by option

  • A. Spinal fusion with expected large blood loss

    Large-blood-loss spinal surgery is a common indication.

  • B. Elective abdominal aortic aneurysm repair

    Aneurysm repair is a common indication for cell salvage.

  • C. Surgery in a field contaminated by bowel contents (correct)

    Correct. Contamination with bowel contents is a classic relative contraindication.

  • D. Revision hip arthroplasty

    Orthopaedic revisions are a common indication for cell salvage.

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, Surgery in a field contaminated by bowel contents. Cell salvage reduces the need for allogeneic transfusion in orthopaedic, vascular and cardiac surgery.

Why is "Spinal fusion with expected large blood loss" not the answer?

Large-blood-loss spinal surgery is a common indication.

Why is "Elective abdominal aortic aneurysm repair" not the answer?

Aneurysm repair is a common indication for cell salvage.

Why is "Revision hip arthroplasty" not the answer?

Orthopaedic revisions are a common indication for cell salvage.

What concept does this question test?

It tests Transfusion: cell salvage in Anaesthesia. Bacterial contamination (for example, bowel contents) and malignancy have been relative contraindications because of the risk of reinfusing bacteria or tumour cells, although leucocyte filters can be used. Washing and filtration limit the risks in many settings.

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 Transfusion: cell salvage?

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.