Special arrest: pregnancy: 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 · Special arrest: pregnancy

Sample item

In cardiac arrest in a woman with a fundus above the umbilicus, what should accompany standard CPR?

ADelay compressions until the uterus is deliveredBRight lateral tilt of 45 degreesCManual left uterine displacement and consideration of resuscitative hysterotomy at about 5 minutesDUse of a lower compression depth

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

The answer and the reasoning

C. Manual left uterine displacement and consideration of resuscitative hysterotomy at about 5 minutes

Left uterine displacement relieves aortocaval compression, and if there is no ROSC by about 4 to 5 minutes the uterus is emptied to improve maternal circulation. Compression technique is unchanged.

Option by option

A. Delay compressions until the uterus is delivered
Delaying compressions is harmful.
B. Right lateral tilt of 45 degrees
Right tilt worsens compression.
C. Manual left uterine displacement and consideration of resuscitative hysterotomy at about 5 minutes (correct)
Correct. Displace the uterus and prepare for hysterotomy.
D. Use of a lower compression depth
Compression depth is not lowered.

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.

Questions about this Anaesthesia question

What is the answer to this Anaesthesia question?

The best answer is C, Manual left uterine displacement and consideration of resuscitative hysterotomy at about 5 minutes. Left uterine displacement relieves aortocaval compression, and if there is no ROSC by about 4 to 5 minutes the uterus is emptied to improve maternal circulation.

Why is "Delay compressions until the uterus is delivered" not the answer?

Delaying compressions is harmful.

Why is "Right lateral tilt of 45 degrees" not the answer?

Right tilt worsens compression.

Why is "Use of a lower compression depth" not the answer?

Compression depth is not lowered.

What concept does this question test?

It tests Special arrest: pregnancy in Anaesthesia. Compression technique is unchanged.

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 Special arrest: pregnancy?

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.