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General Surgery · Gastrointestinal bleeding
Sample itemWhat is the immediate priority in a patient with massive upper gastrointestinal bleeding?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Resuscitate airway, breathing, and circulation
Massive gastrointestinal bleeding may cause haemodynamic collapse, so airway protection, intravenous access, blood testing, and resuscitation precede definitive endoscopy.
Option by option
A. Resuscitate airway, breathing, and circulation (correct)
Correct: ABC resuscitation is the first priority.
B. Start a high-fibre diet
Dietary changes are not acute resuscitation.
C. Perform a routine hearing test
Hearing testing is irrelevant to active bleeding.
D. Arrange elective skin biopsy
Skin biopsy does not address haemorrhagic shock.
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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