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: Surgery
A patient on the same evening following thyroidectomy presents with a swelling in the neck and difficult breathing. Next management would be: 
Select and explain. 
A. Open immediatly, B. Intubate oro-tracheally, C. Wait and watch, D. Administer oxygen by mask
A: Open immediatly
Answer: A: Open immediatly 
Explanation: The next step should be opening the sutures and release the tension hematoma which is causing difficulty in breathing. Ref: Harrison's Internal Medicine, 18th Edition, Page 362; Bailey and Love's Sho Practice of Surgery, 25th Edition, Page 790, 792 and 23rd Edition, Page 727.