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General Surgery · Surgical complications
Sample itemWhich postoperative finding is most concerning for an anastomotic leak after colorectal surgery?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. New tachycardia, fever, abdominal pain, and rising inflammatory markers
An anastomotic leak can cause sepsis and peritonitis, often presenting with unexplained tachycardia, fever, pain, ileus, or rising inflammatory markers; urgent senior review and imaging or source control may be necessary.
Option by option
A. New tachycardia, fever, abdominal pain, and rising inflammatory markers (correct)
Correct: systemic deterioration with abdominal signs can indicate an anastomotic leak.
B. A single episode of mild thirst
Mild thirst alone is common and nonspecific after surgery.
C. Normal postoperative fatigue
Some fatigue is expected and does not itself indicate a leak.
D. Improved appetite on day one
Improved appetite is generally a reassuring recovery feature.
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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