Blood management: practice question

A Anaesthesia question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Anaesthesia · Blood management

Sample item

What reaction requires immediate stopping of a blood transfusion?

AAn unchanged chronic systolic murmur documented before transfusionBAn oxygen saturation trace unchanged from the pretransfusion baselineCFever, hypotension, or haemoglobinuria during transfusionDLocalized itch beneath adhesive tape with stable vital signs

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

C. Fever, hypotension, or haemoglobinuria during transfusion

Possible acute transfusion reaction requires stopping transfusion, maintaining intravenous access, checking identification, and initiating urgent investigation and support.

Option by option

A. An unchanged chronic systolic murmur documented before transfusion
A pre-existing unchanged murmur does not indicate an acute transfusion reaction.
B. An oxygen saturation trace unchanged from the pretransfusion baseline
A baseline-equivalent oxygen trace is not by itself a trigger to stop transfusion.
C. Fever, hypotension, or haemoglobinuria during transfusion (correct)
Correct: systemic reaction signs require immediate stop.
D. Localized itch beneath adhesive tape with stable vital signs
Tape-related local itch is not the same as systemic transfusion reaction.

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.

Questions about this Anaesthesia question

What is the answer to this Anaesthesia question?

The best answer is C, Fever, hypotension, or haemoglobinuria during transfusion. Possible acute transfusion reaction requires stopping transfusion, maintaining intravenous access, checking identification, and initiating urgent investigation and support.

Why is "An unchanged chronic systolic murmur documented before transfusion" not the answer?

A pre-existing unchanged murmur does not indicate an acute transfusion reaction.

Why is "An oxygen saturation trace unchanged from the pretransfusion baseline" not the answer?

A baseline-equivalent oxygen trace is not by itself a trigger to stop transfusion.

Why is "Localized itch beneath adhesive tape with stable vital signs" not the answer?

Tape-related local itch is not the same as systemic transfusion reaction.

What concept does this question test?

It tests Blood management in Anaesthesia. The correct option holds because: Correct: systemic reaction signs require immediate stop.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Blood management?

Make a table of each agent, its key advantage and its main side effect. Then use the flashcards and the other Anaesthesia questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.