Free practice question 17 of 20 · Perioperative care
An original single best answer question in the style of the MRCS Part A paper, with the answer and a referenced explanation. Pick an answer to reveal it, then rate how sure you were.
A 40-year-old woman regurgitates clear acidic fluid at induction for an elective inguinal hernia repair; it is suctioned and she is intubated. Four hours after uneventful surgery she is apyrexial, with a respiratory rate of 20/min, oxygen saturation 95% on 2 L/min and patchy right lower zone shadowing.
Which is the most appropriate management?
Topic guide
Perioperative care: what the exam tests
Syllabus coverage, high-yield themes and the common traps.
Free article
Preoperative assessment and risk: ASA, NICE NG45, comorbidity and VTE
ASA grades, NICE NG45 tests by surgery grade, METs and RCRI, airway assessment, diabetes, anticoagulants, steroids, NG89 VTE prophylaxis, fasting and consent.
Interactive 3D
Inguinal canal & hernia anatomy
The left groin from the front with the abdominal wall opened in layers: the deep inguinal ring, the inguinal ligament with the femoral artery and vein passing beneath it into the thigh, the femoral canal medial to the vein, and the hip bone and femur for orientation.
Create a free account with Google and go straight into the sample bank, today's Daily Five and your readiness dashboard. No card required.