MRCS PART A · APPLIED PHYSIOLOGY

Shock & fluid decisions

Find the mechanism. Choose the action. Reassess the response.

Examination practice · 6 fictional adult patients · session-only progress · no patient information

Choose a patient

Patient 1 / 60 completed

Deterioration after abdominal surgery

A 62-year-old becomes pale and restless two hours after a major abdominal operation. The nurse asks whether to increase the maintenance infusion. Choose the information you need while help is being summoned; do not delay emergency assessment to finish a checklist.

1. Choose the information you need

Only one answer opens at a time. Questions do not alter the patient's facts. In a real emergency, assessment and escalation run together.

2. Which next action best fits the available evidence?A. Wait for a second haemoglobin before escalatingB. Increase routine maintenance and review in four hoursC. Activate urgent surgical/anaesthetic haemorrhage response, support ABCDE and arrange blood products plus bleeding controlD. Give a diuretic for the low urine outputE. Arrange CT before calling the operating team

Sources and scope

Guidance checked. Independent MRCS practice, not official exam material or a bedside protocol. Verify current guidance and local emergency procedures. Doses and techniques not specified here need competent clinical prescribing and assessment.