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General Surgery · Bowel obstruction
Sample itemWhich symptom combination is typical of mechanical small bowel obstruction?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Colicky pain, vomiting, distension, and constipation
Mechanical small bowel obstruction commonly presents with colicky abdominal pain, vomiting, distension, and failure to pass stool or flatus.
Option by option
A. Colicky pain, vomiting, distension, and constipation (correct)
Correct: this is the classic obstructive symptom cluster.
B. Dysuria with flank pain only
Flank pain and dysuria suggest urinary disease.
C. Haemoptysis, wheeze, and rash
This respiratory cluster suggests a different system.
D. Headache with photophobia only
Headache and photophobia suggest neurological infection.
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 General Surgery questions
- Bowel obstructionVomiting, distension, and obstipation suggest what?
- Bowel obstructionWhat symptom constellation suggests bowel obstruction?
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- Bowel obstructionWhat feature is especially common in large-bowel obstruction?