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Anaesthesia · Respiratory physiology and ventilation: curriculum recognition
Sample itemWhich of these operations carries the highest risk of postoperative pulmonary complications, because of diaphragmatic dysfunction and pain-limited breathing?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Upper abdominal surgery
Surgery near the diaphragm, especially upper abdominal incisions, reduces vital capacity and cough and promotes atelectasis. Peripheral and superficial operations carry little respiratory risk. Good analgesia, early mobilisation and lung expansion reduce the risk.
Option by option
A. Inguinal hernia repair
Hernia repair is a lower abdominal procedure with a lower risk.
B. Cataract surgery
Cataract surgery is usually under local anaesthesia and carries minimal risk.
C. Knee arthroscopy
Knee arthroscopy does not affect respiratory mechanics.
D. Upper abdominal surgery (correct)
Correct. Upper abdominal incisions impair diaphragmatic function and deep breathing.
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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