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General Surgery · Postoperative care
Sample itemA patient becomes suddenly short of breath and tachycardic on postoperative day three. Which diagnosis must be considered urgently?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Pulmonary embolism
Recent surgery is a major venous thromboembolism risk factor, so sudden dyspnoea and tachycardia require urgent assessment for pulmonary embolism while other cardiopulmonary causes are evaluated.
Option by option
A. Stable cataract
Cataract is an ocular condition without acute cardiopulmonary effects.
B. Chronic otitis externa
Otitis externa causes ear symptoms, not postoperative dyspnoea.
C. Simple postoperative constipation
Constipation does not explain sudden respiratory compromise and tachycardia.
D. Pulmonary embolism (correct)
Correct: acute dyspnoea after surgery raises concern for pulmonary embolism.
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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