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General Surgery · Vascular surgery: acute limb ischaemia
Sample itemWhich sign is part of the classic acute limb ischaemia 'six Ps'?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Pulselessness
Acute limb ischaemia causes pain, pallor, pulselessness, paraesthesia, paralysis and poikilothermia. It needs urgent vascular assessment and anticoagulation unless contraindicated.
Option by option
A. Pulselessness (correct)
Correct. Pulselessness is a core six-P sign.
B. Polyuria
Polyuria is urinary output excess.
C. Proteinuria
Proteinuria is renal.
D. Pupillary dilation
Pupil changes are not limb-ischaemia signs.
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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