Critical care: sepsis fluids: 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 · Critical care: sepsis fluids

Sample item

In the initial resuscitation of sepsis-induced hypoperfusion, what is the suggested fluid volume and type?

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

The answer and the reasoning

A. At least 30 mL/kg of crystalloid within the first 3 hours

Early fluid resuscitation with balanced crystalloid restores intravascular volume, and further fluids are guided by dynamic measures such as capillary refill and lactate. Starch solutions are not recommended.

Option by option

  • A. At least 30 mL/kg of crystalloid within the first 3 hours (correct)

    Correct. 30 mL/kg crystalloid is the suggestion.

  • B. 100 mL/kg of 5% dextrose

    Dextrose does not expand the intravascular volume.

  • C. 5 mL/kg of colloid

    5 mL/kg is too little.

  • D. No fluids

    Fluids are a pillar of early resuscitation.

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 A, At least 30 mL/kg of crystalloid within the first 3 hours. Early fluid resuscitation with balanced crystalloid restores intravascular volume, and further fluids are guided by dynamic measures such as capillary refill and lactate.

Why is "100 mL/kg of 5% dextrose" not the answer?

Dextrose does not expand the intravascular volume.

Why is "5 mL/kg of colloid" not the answer?

5 mL/kg is too little.

Why is "No fluids" not the answer?

Fluids are a pillar of early resuscitation.

What concept does this question test?

It tests Critical care: sepsis fluids in Anaesthesia. Starch solutions are not recommended.

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 Critical care: sepsis fluids?

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.