Post-cardiac arrest care: haemodynamic targets: 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 · Post-cardiac arrest care: haemodynamic targets

Sample item

Which blood pressure target is recommended after ROSC?

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

The answer and the reasoning

D. Systolic at least 90 mmHg and mean arterial pressure at least 65 mmHg

Avoiding hypotension limits secondary brain injury, so SBP of 90 mmHg or more and MAP of 65 mmHg or more are goals. A 12-lead ECG is obtained to decide on urgent coronary angiography.

Option by option

  • A. Systolic of 200 mmHg

    A systolic pressure of 200 mmHg is excessive.

  • B. No target is set

    Targets are recommended.

  • C. Mean arterial pressure of 40 mmHg

    A MAP of 40 mmHg is dangerously low.

  • D. Systolic at least 90 mmHg and mean arterial pressure at least 65 mmHg (correct)

    Correct. This is the AHA target.

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 D, Systolic at least 90 mmHg and mean arterial pressure at least 65 mmHg. Avoiding hypotension limits secondary brain injury, so SBP of 90 mmHg or more and MAP of 65 mmHg or more are goals.

Why is "Systolic of 200 mmHg" not the answer?

A systolic pressure of 200 mmHg is excessive.

Why is "No target is set" not the answer?

Targets are recommended.

Why is "Mean arterial pressure of 40 mmHg" not the answer?

A MAP of 40 mmHg is dangerously low.

What concept does this question test?

It tests Post-cardiac arrest care: haemodynamic targets in Anaesthesia. A 12-lead ECG is obtained to decide on urgent coronary angiography.

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 Post-cardiac arrest care: haemodynamic targets?

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.