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Anaesthesia · Postoperative complications: atelectasis
Sample itemFever and hypoxaemia on the first postoperative day with reduced breath sounds at lung bases are commonly due to what?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Atelectasis
Postoperative atelectasis is common because pain, shallow breathing and mucus retention reduce alveolar expansion. Mobilisation, analgesia and lung-expansion measures are important.
Option by option
A. Pulmonary embolism in every case
Pulmonary embolism is important but is not the most typical explanation for this early pattern.
B. Malignant hyperthermia
Malignant hyperthermia occurs during or soon after triggering anaesthesia with hypercapnia and rigidity.
C. Aspiration pneumonia only
Aspiration has a distinct clinical context and infiltrate pattern.
D. Atelectasis (correct)
Correct. Basal collapse is a common early postoperative respiratory problem.
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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