Try it
Anaesthesia · Special populations and acute pain: curriculum recognition
Sample itemA 34-year-old woman has had an inguinal hernia repair as a day case under general anaesthesia. She is awake, comfortable and haemodynamically stable. Which condition is essential before she is allowed to leave the unit?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. A responsible adult to take her home and stay with her
After day-case general anaesthesia, judgement and psychomotor skills stay impaired for hours. Safe discharge therefore needs a responsible adult escort and written instructions with a contact number. Driving, signing legal documents and drinking alcohol are forbidden for 24 hours.
Option by option
A. Ability to drive herself home once fully awake
Driving is prohibited for 24 hours after general anaesthesia even when the patient feels alert.
B. Compulsory 24-hour overnight observation
Day-case surgery exists precisely so that routine overnight stay is not required.
C. A responsible adult to take her home and stay with her (correct)
Correct. An escort and supervision at home are standard requirements for day-case discharge.
D. A normal postoperative haemoglobin on a routine blood test
Routine postoperative blood tests are not a discharge requirement for an uncomplicated hernia repair.
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
- Special populations and acute pain: curriculum recognitionA woman at term needs general anaesthesia. Which change in the pregnant airway increases…
- Special populations and acute pain: curriculum recognitionA term baby is apnoeic after drying and stimulation, and the heart rate is 70 per minute…
- Special populations and acute pain: curriculum recognitionA 9-point scale from very fit to terminally ill, based on the clinician's judgement of f…
- Special populations and acute pain: curriculum recognitionAfter a total knee replacement, a surgeon prescribes paracetamol, an NSAID, a femoral ne…