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General Surgery · Vascular surgery: varicose vein bleeding
Sample itemA patient with varicose veins has brisk bleeding after minor trauma to the lower leg. What first-aid measure is most appropriate?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Elevate the leg and apply direct firm pressure
Venous bleeding is reduced by elevation and direct pressure. A tourniquet can worsen venous pressure if applied incorrectly and is not routine first aid for varicose vein bleeding.
Option by option
A. Elevate the leg and apply direct firm pressure (correct)
Correct. Elevation and pressure reduce venous hydrostatic pressure and bleeding.
B. Keep the leg dependent
Dependency increases venous pressure.
C. Apply a tourniquet above the wound immediately
Tourniquets are not routine and can be harmful.
D. Massage the vein
Massage may dislodge thrombus or worsen bleeding.
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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