Pre-anaesthetic assessment and perioperative principles: curriculum recognition: 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 · Pre-anaesthetic assessment and perioperative principles: curriculum recognition

Sample item

A preoperative questionnaire scores loud snoring, daytime tiredness, observed pauses in breathing at night, high blood pressure, BMI above 35 kg/m2, age above 50 years, large neck circumference and male sex. A high score mainly predicts which problem?

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

The answer and the reasoning

D. Obstructive sleep apnoea

The STOP-BANG questionnaire screens for obstructive sleep apnoea, and a high score warns of airway collapse, desaturation and sensitivity to opioids and sedatives after surgery. Such patients need cautious opioid use and monitored recovery.

Option by option

  • A. Difficult laryngoscopy

    Difficult laryngoscopy is predicted by tools such as LEMON, Mallampati and thyromental distance.

  • B. Major perioperative cardiac events

    Cardiac risk is estimated by the Revised Cardiac Risk Index.

  • C. Postoperative nausea and vomiting

    Postoperative nausea and vomiting is predicted by the Apfel score.

  • D. Obstructive sleep apnoea (correct)

    Correct. These eight items make up the STOP-BANG screen for obstructive sleep apnoea.

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, Obstructive sleep apnoea. The STOP-BANG questionnaire screens for obstructive sleep apnoea, and a high score warns of airway collapse, desaturation and sensitivity to opioids and sedatives after surgery.

Why is "Difficult laryngoscopy" not the answer?

Difficult laryngoscopy is predicted by tools such as LEMON, Mallampati and thyromental distance.

Why is "Major perioperative cardiac events" not the answer?

Cardiac risk is estimated by the Revised Cardiac Risk Index.

Why is "Postoperative nausea and vomiting" not the answer?

Postoperative nausea and vomiting is predicted by the Apfel score.

What concept does this question test?

It tests Pre-anaesthetic assessment and perioperative principles: curriculum recognition in Anaesthesia. Such patients need cautious opioid use and monitored recovery.

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 Pre-anaesthetic assessment and perioperative principles: curriculum recognition?

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.