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General Surgery · Bowel obstruction
Sample itemWhat is an important initial management step in suspected bowel obstruction?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Fluid resuscitation and urgent surgical assessment
Bowel obstruction can cause dehydration, electrolyte disturbance, and ischaemia, so resuscitation, assessment, imaging, and surgical input are priorities.
Option by option
A. Give a large meal to test tolerance
Eating can worsen vomiting and aspiration risk.
B. Delay all examination for 24 hours
Delay can miss strangulation or perforation.
C. Start topical corticosteroids
Topical steroids do not treat obstruction.
D. Fluid resuscitation and urgent surgical assessment (correct)
Correct: resuscitation and early review address serious complications.
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.
More General Surgery questions
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