Complications: awareness: practice question

A Anaesthesia question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Anaesthesia · Complications: awareness

Sample item

Which surgery carries the highest risk of intraoperative awareness?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Cardiac surgery, caesarean section under general anaesthesia and trauma

Awareness is more likely when anaesthetic depth is deliberately light because of haemodynamic instability, such as in trauma, caesarean section and cardiac surgery, or when muscle relaxants mask movement. Use of BIS or end-tidal agent monitoring helps.

Option by option

  • A. Appendicectomy in adults

    Routine cases carry a low risk.

  • B. Knee arthroscopy under spinal

    Spinal anaesthesia is without general anaesthesia.

  • C. Cataract surgery

    Cataract surgery usually uses topical or local anaesthesia.

  • D. Cardiac surgery, caesarean section under general anaesthesia and trauma (correct)

    Correct. Light anaesthesia is used in these cases.

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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Questions about this Anaesthesia question

What is the answer to this Anaesthesia question?

The best answer is D, Cardiac surgery, caesarean section under general anaesthesia and trauma. Awareness is more likely when anaesthetic depth is deliberately light because of haemodynamic instability, such as in trauma, caesarean section and cardiac surgery, or when muscle relaxants mask movement.

Why is "Appendicectomy in adults" not the answer?

Routine cases carry a low risk.

Why is "Knee arthroscopy under spinal" not the answer?

Spinal anaesthesia is without general anaesthesia.

Why is "Cataract surgery" not the answer?

Cataract surgery usually uses topical or local anaesthesia.

What concept does this question test?

It tests Complications: awareness in Anaesthesia. Use of BIS or end-tidal agent monitoring helps.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Complications: awareness?

Make a table of each agent, its key advantage and its main side effect. Then use the flashcards and the other Anaesthesia questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.