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General Surgery · Vascular surgery
Sample itemWhat is the priority when a known abdominal aortic aneurysm patient develops sudden abdominal and back pain with collapse?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Treat as possible rupture and activate emergency vascular management
Sudden abdominal or back pain with collapse in a patient at risk of abdominal aortic aneurysm rupture is a time-critical vascular emergency requiring resuscitation, permissive hypotension where appropriate, and immediate vascular-team involvement.
Option by option
A. Start speech therapy
Speech therapy does not address haemodynamic collapse.
B. Prescribe topical emollient
Emollient treatment has no role in internal vascular haemorrhage.
C. Treat as possible rupture and activate emergency vascular management (correct)
Correct: suspected ruptured aneurysm needs immediate emergency management.
D. Arrange a routine annual review
Routine review is unsafe in a possible rupture.
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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