This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Unknown
[{'content': 'A 40 year female who underwent subtotal thyroidectomy developed respiratory distress 8 hours after the operation. The skin sutures were opened in the ward but the distress persisted. What is next likely step in management? \nSelect and explain. \nA. Immediately shift the patient to operation theatre, B. Patient should be intubated in the ward, C. External pressure should be applied over the neck to stop bleeding, D. Open the layers of the wound in the ward.', 'role': 'user'}, {'content': 'Answer: D \nExplanation: The most important cause of respiratory distress is tension hematoma.\nGenerally the distress is relieved by opening the skin suture.\nOn rare occasions, it may be necessary to open the layers of the wound, not simply\nthe skin closure, to relieve tension before taking the patient to theatre to evacuate the hematoma & secure the bleeding vessel.', 'role': 'assistant'}]