Complications and emergencies: stress ulcer prophylaxis: 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 · Complications and emergencies: stress ulcer prophylaxis

Sample item

Which pair are the major independent risk factors for clinically important gastrointestinal bleeding in intensive care, and so the main indications for stress ulcer prophylaxis?

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

The answer and the reasoning

C. Ventilation for over 48 hours and coagulopathy

Prolonged mechanical ventilation and coagulopathy were the strongest risk factors for significant bleeding. Prophylaxis is given with a proton pump inhibitor or H2 blocker in such patients, and early enteral feeding is protective.

Option by option

  • A. Enteral feeding and a low serum albumin

    Enteral feeding is protective rather than harmful.

  • B. Obesity and long-standing hypertension

    Obesity and hypertension do not define stress ulcer risk.

  • C. Ventilation for over 48 hours and coagulopathy (correct)

    Correct. These two identify patients who benefit from prophylaxis.

  • D. Age above 60 years and diabetes mellitus

    Age and diabetes are not the key independent risk factors for 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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Questions about this Anaesthesia question

What is the answer to this Anaesthesia question?

The best answer is C, Ventilation for over 48 hours and coagulopathy. Prolonged mechanical ventilation and coagulopathy were the strongest risk factors for significant bleeding.

Why is "Enteral feeding and a low serum albumin" not the answer?

Enteral feeding is protective rather than harmful.

Why is "Obesity and long-standing hypertension" not the answer?

Obesity and hypertension do not define stress ulcer risk.

Why is "Age above 60 years and diabetes mellitus" not the answer?

Age and diabetes are not the key independent risk factors for bleeding.

What concept does this question test?

It tests Complications and emergencies: stress ulcer prophylaxis in Anaesthesia. Prophylaxis is given with a proton pump inhibitor or H2 blocker in such patients, and early enteral feeding is protective.

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 Complications and emergencies: stress ulcer prophylaxis?

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.