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General Surgery · Postoperative care: pulmonary embolism
Sample itemFive days after major pelvic surgery, a patient develops sudden dyspnea, pleuritic pain, tachycardia, and syncope. What diagnosis must be urgently considered?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Pulmonary embolism
Recent major surgery is a strong venous thromboembolism risk factor. Acute dyspnea, pleuritic pain, tachycardia, or syncope require urgent assessment for pulmonary embolism.
Option by option
A. Uncomplicated ileus
Ileus causes abdominal distension and vomiting.
B. Simple postoperative atelectasis
Atelectasis usually occurs earlier with mild hypoxemia and basal signs.
C. Pulmonary embolism (correct)
Correct. The timing, risk factor, and abrupt cardiopulmonary symptoms fit PE.
D. Wound seroma
Seroma is localized wound fluid collection.
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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