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Postoperative nausea and vomiting — USMLE Step 3 MCQ

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ModerateSurgery (post-operative, follow-up)Postoperative nausea and vomitingUSMLE Step 3

A 36-year-old woman has persistent nausea after outpatient laparoscopy. Vitals are stable, abdomen is soft, and pregnancy test is negative. She has no fever or peritoneal signs. Which of the following is the most appropriate at this time?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: A — Treat with an antiemetic and assess hydration

Uncomplicated postoperative nausea is managed symptomatically with hydration assessment and antiemetics while evaluating for red flags.

Reference: American College of Surgeons perioperative care principles