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Anaesthesia · Basic resuscitation: choking adult becomes unresponsive
Sample itemAn adult with foreign body airway obstruction becomes unresponsive and stops breathing while being given abdominal thrusts. What should the rescuer do next?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Lower him and start CPR, checking the mouth before breaths
When a choking victim loses consciousness, they are lowered to the ground and CPR is started, as chest compressions can also expel the object. The mouth is checked for a visible object before each breath, and only a visible object is removed.
Option by option
A. Perform repeated blind finger sweeps of the throat
Blind sweeps may push the object deeper, and only a visible object is removed.
B. Continue abdominal thrusts until the object comes out
Abdominal thrusts are for the conscious victim, and continuing them delays CPR.
C. Wait for emergency services before starting any treatment
Waiting without treatment leaves the patient hypoxic and arrest-bound.
D. Lower him and start CPR, checking the mouth before breaths (correct)
Correct. CPR with a look in the mouth before breaths is the standard sequence once the victim is unresponsive.
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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