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General Surgery · Surgical assessment
Sample itemWhat is a first priority when evaluating an acutely unwell surgical patient?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Assess airway, breathing, and circulation
The core Surgical assessment principle makes Assess airway, breathing, and circulation the best answer because it directly explains the stated presentation, investigation, or immediate management priority.
Option by option
A. Assess airway, breathing, and circulation (correct)
Correct. Assess airway, breathing, and circulation follows from the crucial clinical clue in the stem.
B. Obtain a dental impression
Obtain a dental impression does not fit the requested surgical assessment conclusion.
C. Check visual acuity only
Check visual acuity only may be relevant in another clinical setting but is not best here.
D. Delay vital signs
Delay vital signs does not address the underlying finding or indicated action.
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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