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Anaesthesia · Complications, recovery, and safety culture: curriculum recognition
Sample itemA child with spina bifida is scheduled for surgery. Which precaution is most appropriate?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Latex-free equipment and gloves, ideally as the first case
Repeated exposure from catheterisation and surgery makes these children highly prone to sensitisation. Avoiding all latex contact is the key precaution, because drug prophylaxis does not reliably prevent anaphylaxis.
Option by option
A. Latex-free equipment and gloves, ideally as the first case (correct)
Correct. Preventing exposure is the effective measure.
B. Powdered gloves with steroid cover
Powder carries latex allergen into the air.
C. Routine equipment with antihistamine premedication alone
Premedication alone does not prevent anaphylaxis.
D. Postponing surgery until adulthood
Delay is unnecessary and harmful.
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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