This quiz, titled '6.23.16 - Pre-op evaluation,' assesses knowledge crucial for preoperative evaluations in various medical scenarios. It covers cardiac risk assessment, anesthetic considerations for patients with pulmonary disease, and appropriate surgical preparations, enhancing understanding for medical professionals.
Cardiac catheterization
Treadmill stress echocardiography
Trans-esophageal 2-D echocardiography before and after administration of dobutamine
Hepatectomy without further cardiac evaluation
Dipyridamole-thallium cardiac imaging
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This event is rare because fewer than 5% of patients with CAD have no symptoms with exercise
Dyspnea on exertion can represent an angina equivalent
Such a condition can progress to heart failure from non-ischemia cardiomyopathy
Typical angina pectoris is promptly relieved by increased activity
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History of CHF
History of diabetes
Serum creatinine > 2.0 mg/dL
History of COPD on home O2
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Continue beta blocker, continue statin, HOLD ACE-i, continue Aspirin, HOLD Plavix for 5 days pre-operatively
Continue beta blocker, continue statin, continue ACE-i, HOLD both Aspirin and Plavix for 5 days pre-operatively
HOLD beta blocker, continue statin, HOLD ACE-i, HOLD both Aspirin and Plavix for 5 days pre-operatively
Kindly refer the patient elsewhere
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A choice of anesthetic that produces bronchodilation
The use of epidural analgesia for post-operative pain control
Intubation at a deep level of anesthesia
All of the above
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54 year-old woman with no past medical history who takes a prophylactic baby aspirin daily
45 year-old man with obesity, type II diabetes, and biopsy-proven non-alcoholic fatty liver disease
21 year-old man with history of prior umbilical hernia repair
82 year-old man with hypertension and hyperlipidemia, but no history of coronary or cerebrovascular events
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Atypical patients with borderline positive results of stress tests need arteriography
Patients who need valve procedures do not need arteriography
All patients with typical anginal symptoms need coronary arteriography
Patients with refractory heart failure awaiting cardiac transplantation need coronary arteriography
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Prior CABG for CAD
Length of surgical procedure less than 3 hours
One or two ventricular beats per minute on an EKG rhythm strip
Withdrawal of medical therapy with beta blockers
The anesthetic technique used
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ASA Class I
ASA Class II
ASA Class III
ASA Class IV
ASA Class V
ASA Class VI
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