Special populations and acute pain: 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 · Special populations and acute pain: curriculum recognition

Sample item

A term baby is apnoeic after drying and stimulation, and the heart rate is 70 per minute. What is the next step?

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

The answer and the reasoning

B. Start positive pressure ventilation with a bag and mask

Neonatal resuscitation begins with drying, warmth and stimulation, and apnoea or a heart rate below 100 per minute is treated with ventilation, which is the most important step. Compressions are started only if the heart rate remains below 60 after effective ventilation.

Option by option

  • A. Give intravenous adrenaline

    Adrenaline is reserved for a persistently low heart rate despite ventilation and compressions.

  • B. Start positive pressure ventilation with a bag and mask (correct)

    Correct. Ventilation is the priority for an apnoeic baby with a heart rate under 100.

  • C. Start chest compressions

    Compressions follow only after 30 seconds of effective ventilation with a heart rate under 60.

  • D. Place an umbilical venous catheter

    Venous access is obtained later if drugs become necessary.

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 B, Start positive pressure ventilation with a bag and mask. Neonatal resuscitation begins with drying, warmth and stimulation, and apnoea or a heart rate below 100 per minute is treated with ventilation, which is the most important step.

Why is "Give intravenous adrenaline" not the answer?

Adrenaline is reserved for a persistently low heart rate despite ventilation and compressions.

Why is "Start chest compressions" not the answer?

Compressions follow only after 30 seconds of effective ventilation with a heart rate under 60.

Why is "Place an umbilical venous catheter" not the answer?

Venous access is obtained later if drugs become necessary.

What concept does this question test?

It tests Special populations and acute pain: curriculum recognition in Anaesthesia. Compressions are started only if the heart rate remains below 60 after effective ventilation.

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 Special populations and acute pain: 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.