Preoperative Care and Evaluation
A quiz on Preoperative Care and Evaluation
Mcqs with answers on Preoperative Care and Evaluation
#1. A 76-year-old patient is undergoing emergent laparotomy for perforated viscus. He has multiple comorbidities and is hemodynamically unstable. What is the best course of action? ? In emergent cases, surgery should not be delayed for cardiac testing. Perioperative management should focus on stabilization and risk mitigation.
- In emergent cases, surgery should not be delayed for cardiac testing. Perioperative management should focus on stabilization and risk mitigation.
#2. Which of the following is NOT a goal of preoperative evaluation? ? reoperative evaluation aims to assess and optimize risk but cannot guarantee the absence of complications.
Preoperative evaluation aims to assess and optimize risk but cannot guarantee the absence of complications.
#3. According to the Revised Cardiac Risk Index (RCRI), which of the following factors is NOT included in risk stratification? A) High-risk surgery B) History of ischemic heart disease ? Hypertension is not part of the RCRI criteria. The factors are high-risk surgery, ischemic heart disease, CHF, cerebrovascular disease, insulin-dependent diabetes, and creatinine >2 mg/dL.
Hypertension is not part of the RCRI criteria. The factors are high-risk surgery, ischemic heart disease, CHF, cerebrovascular disease, insulin-dependent diabetes, and creatinine >2 mg/dL.
#4. A 68-year-old man with a history of myocardial infarction 4 months ago is scheduled for elective hernia repair. He has no current chest pain but complains of mild fatigue on exertion. Which of the following is the most appropriate next step? ? A recent MI within 6 months is a high-risk factor for perioperative cardiac events. Elective surgery should be postponed and the patient evaluated by cardiology.
A recent MI within 6 months is a high-risk factor for perioperative cardiac events. Elective surgery should be postponed and the patient evaluated by cardiology.
#5. Which of the following patients requires routine preoperative ECG before low-risk surgery? ? Routine ECG is unnecessary for low-risk procedures in asymptomatic patients.
Routine ECG is unnecessary for low-risk procedures in asymptomatic patients.
#6. A 60-year-old smoker with COPD is scheduled for laparoscopic cholecystectomy. Which preoperative test is most likely to reduce pulmonary complications? ? Preoperative incentive spirometry training reduces atelectasis and pneumonia risk.
Preoperative incentive spirometry training reduces atelectasis and pneumonia risk.
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