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.

Try it

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

Sample item

A 62-year-old woman with a previous leg deep vein thrombosis is to have a 4-hour open pelvic operation for ovarian cancer. Which plan of thromboprophylaxis is most appropriate?

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

The answer and the reasoning

B. Low molecular weight heparin with intermittent pneumatic compression

Major pelvic cancer surgery with a previous thrombosis puts her in a high-risk group, for which pharmacological prophylaxis with low molecular weight heparin is combined with mechanical methods. Single measures such as stockings or mobilisation are insufficient at this risk.

Option by option

  • A. Graduated stockings alone

    Stockings alone are meant for low-risk patients or those who cannot receive heparin.

  • B. Low molecular weight heparin with intermittent pneumatic compression (correct)

    Correct. High-risk patients need drug prophylaxis plus mechanical compression.

  • C. Aspirin alone

    Aspirin gives inadequate protection against venous thrombosis in this setting.

  • D. Early mobilisation alone

    Early mobilisation helps but is inadequate alone in a high-risk patient.

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.

More Anaesthesia questions

Questions about this Anaesthesia question

What is the answer to this Anaesthesia question?

The best answer is B, Low molecular weight heparin with intermittent pneumatic compression. Major pelvic cancer surgery with a previous thrombosis puts her in a high-risk group, for which pharmacological prophylaxis with low molecular weight heparin is combined with mechanical methods.

Why is "Graduated stockings alone" not the answer?

Stockings alone are meant for low-risk patients or those who cannot receive heparin.

Why is "Aspirin alone" not the answer?

Aspirin gives inadequate protection against venous thrombosis in this setting.

Why is "Early mobilisation alone" not the answer?

Early mobilisation helps but is inadequate alone in a high-risk patient.

What concept does this question test?

It tests Pre-anaesthetic assessment and perioperative principles: curriculum recognition in Anaesthesia. Single measures such as stockings or mobilisation are insufficient at this risk.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. 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.