Critical care, resuscitation, and emergency 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 · Critical care, resuscitation, and emergency principles: curriculum recognition

Sample item

A young man with a stab wound to the abdomen has a heart rate of 135 per minute, a blood pressure of 80/40 mmHg and cold peripheries. After airway and access are secured, which approach is best?

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

The answer and the reasoning

C. Early haemorrhage control with blood product resuscitation

Shock from haemorrhage is treated by stopping the bleeding and replacing the lost blood with blood products, accepting a lower pressure until control is gained. Large volumes of crystalloid dilute clotting factors and worsen bleeding. Vasopressors and inotropes do not replace the lost volume.

Option by option

  • A. Rapid 4 L of crystalloid until the pressure is normal

    Large-volume crystalloid dilutes clotting and raises the pressure, which may increase bleeding.

  • B. Dobutamine to improve cardiac output

    An inotrope does not correct hypovolaemia.

  • C. Early haemorrhage control with blood product resuscitation (correct)

    Correct. Surgical control and balanced blood product replacement treat the cause.

  • D. Noradrenaline infusion before any fluid

    A vasopressor in an empty circulation worsens tissue perfusion.

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 C, Early haemorrhage control with blood product resuscitation. Shock from haemorrhage is treated by stopping the bleeding and replacing the lost blood with blood products, accepting a lower pressure until control is gained.

Why is "Rapid 4 L of crystalloid until the pressure is normal" not the answer?

Large-volume crystalloid dilutes clotting and raises the pressure, which may increase bleeding.

Why is "Dobutamine to improve cardiac output" not the answer?

An inotrope does not correct hypovolaemia.

Why is "Noradrenaline infusion before any fluid" not the answer?

A vasopressor in an empty circulation worsens tissue perfusion.

What concept does this question test?

It tests Critical care, resuscitation, and emergency principles: curriculum recognition in Anaesthesia. Large volumes of crystalloid dilute clotting factors and worsen bleeding. Vasopressors and inotropes do not replace the lost volume.

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 Critical care, resuscitation, and emergency 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.