Post-cardiac arrest care: coronary angiography: 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.

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Anaesthesia · Post-cardiac arrest care: coronary angiography

Sample item

A resuscitated patient has ST elevation on the post-ROSC ECG. What is the recommended next step?

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

The answer and the reasoning

A. Emergency coronary angiography

A 12-lead ECG is obtained after ROSC and, if STEMI is present, emergency coronary angiography is recommended even in comatose patients. An acute coronary lesion is a frequent cause of arrest. Temperature control and organ support continue alongside.

Option by option

  • A. Emergency coronary angiography (correct)

    Correct. Early angiography is recommended for post-arrest STEMI.

  • B. Sedation without ECG

    The ECG guides management.

  • C. Thrombolysis only if conscious

    Coma does not exclude angiography.

  • D. Delay all investigation for 72 hours

    Delay reduces myocardial 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.

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Questions about this Anaesthesia question

What is the answer to this Anaesthesia question?

The best answer is A, Emergency coronary angiography. A 12-lead ECG is obtained after ROSC and, if STEMI is present, emergency coronary angiography is recommended even in comatose patients.

Why is "Sedation without ECG" not the answer?

The ECG guides management.

Why is "Thrombolysis only if conscious" not the answer?

Coma does not exclude angiography.

Why is "Delay all investigation for 72 hours" not the answer?

Delay reduces myocardial salvage.

What concept does this question test?

It tests Post-cardiac arrest care: coronary angiography in Anaesthesia. An acute coronary lesion is a frequent cause of arrest. Temperature control and organ support continue alongside.

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 Post-cardiac arrest care: coronary angiography?

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.