Gastroenterology: practice question

A General Medicine 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 Medicine · Gastroenterology

Sample item

What is the most appropriate initial priority for a patient with haematemesis and hypotension?

ASchedule outpatient colonoscopyBResuscitate with an ABC approach and intravenous accessCStart a high-fibre dietDObtain a routine hearing test

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

The answer and the reasoning

B. Resuscitate with an ABC approach and intravenous access

Haematemesis with hypotension may represent major upper gastrointestinal bleeding, so airway protection, circulation assessment, large-bore intravenous access, blood testing, and timely resuscitation take priority before definitive endoscopy.

Option by option

A. Schedule outpatient colonoscopy
Outpatient colonoscopy is not appropriate during haemodynamic instability.
B. Resuscitate with an ABC approach and intravenous access (correct)
Correct: stabilization and vascular access are immediate priorities in shock.
C. Start a high-fibre diet
Dietary fibre does not treat acute upper gastrointestinal blood loss.
D. Obtain a routine hearing test
A hearing test is unrelated to gastrointestinal haemorrhage.

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.

Questions about this General Medicine question

What is the answer to this General Medicine question?

The best answer is B, Resuscitate with an ABC approach and intravenous access. Haematemesis with hypotension may represent major upper gastrointestinal bleeding, so airway protection, circulation assessment, large-bore intravenous access, blood testing, and timely resuscitation take priority before definitive endoscopy.

Why is "Schedule outpatient colonoscopy" not the answer?

Outpatient colonoscopy is not appropriate during haemodynamic instability.

Why is "Start a high-fibre diet" not the answer?

Dietary fibre does not treat acute upper gastrointestinal blood loss.

Why is "Obtain a routine hearing test" not the answer?

A hearing test is unrelated to gastrointestinal haemorrhage.

What concept does this question test?

It tests Gastroenterology in General Medicine. The correct option holds because: Correct: stabilization and vascular access are immediate priorities in shock.

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 Gastroenterology?

For each disease know the classic presentation, the best test, and the first-line treatment. Then use the flashcards and the other General Medicine 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.