Perioperative care: emergency transfusion: practice question

A General Surgery 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.

Try it

General Surgery · Perioperative care: emergency transfusion

Sample item

A young woman in haemorrhagic shock needs blood immediately, and her blood group is unknown. Which product is given?

AWhole blood of any available groupBGroup A Rh D-positive plasmaCGroup O Rh D-negative red cellsDGroup AB red cells

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

The answer and the reasoning

C. Group O Rh D-negative red cells

Uncrossmatched group O red cells carry no A or B antigens, and Rh D-negative cells avoid sensitising women of childbearing age, whose later pregnancies could be affected by anti-D antibodies.

Option by option

A. Whole blood of any available group
Unmatched whole blood risks a haemolytic reaction.
B. Group A Rh D-positive plasma
Group A plasma would carry anti-B antibodies and is not red cell replacement.
C. Group O Rh D-negative red cells (correct)
Correct. Group O Rh D-negative red cells are the universal emergency choice in a woman of childbearing age.
D. Group AB red cells
AB is the universal plasma donor group, not the red cell donor.

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 General Surgery question

What is the answer to this General Surgery question?

The best answer is C, Group O Rh D-negative red cells. Uncrossmatched group O red cells carry no A or B antigens, and Rh D-negative cells avoid sensitising women of childbearing age, whose later pregnancies could be affected by anti-D antibodies.

Why is "Whole blood of any available group" not the answer?

Unmatched whole blood risks a haemolytic reaction.

Why is "Group A Rh D-positive plasma" not the answer?

Group A plasma would carry anti-B antibodies and is not red cell replacement.

Why is "Group AB red cells" not the answer?

AB is the universal plasma donor group, not the red cell donor.

What concept does this question test?

It tests Perioperative care: emergency transfusion in General Surgery. The correct option holds because: Correct. Group O Rh D-negative red cells are the universal emergency choice in a woman of childbearing age.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. 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 Perioperative care: emergency transfusion?

Learn classic signs and eponyms alongside what they diagnose. Then use the flashcards and the other General Surgery 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.