Risk Assessment & Management Flashcards
7 cards from real ABCS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Risk Assessment & Management flashcards as text
A patient taking warfarin for atrial fibrillation requests an elective rhinoplasty. What is the most appropriate next step in risk management?
Answer: Coordinate with the patient's cardiologist to determine safe bridging or hold strategy
Coordinating with the managing cardiologist ensures a safe anticoagulation management plan tailored to the patient's thromboembolic risk profile.
Which ASA physical status classification applies to a patient with well-controlled Type 2 diabetes and a BMI of 31?
Answer: ASA II
ASA II describes patients with mild systemic disease that does not limit activity, such as well-controlled diabetes or mild obesity.
Intraoperative hypotension in a patient undergoing abdominoplasty under general anesthesia is most immediately managed by:
Answer: Fluid resuscitation and vasopressors as indicated after identifying the cause
Identifying the cause of hypotension while simultaneously supporting perfusion with fluids and vasopressors is the appropriate initial management algorithm.
Which preoperative lab finding would most significantly increase perioperative risk for elective facial liposuction?
Answer: Serum creatinine of 3.2 mg/dL
A creatinine of 3.2 mg/dL indicates significant renal impairment, increasing risk for fluid and electrolyte disturbances, delayed drug clearance, and wound healing complications.
A smoker requests elective facelift surgery. Which counseling strategy best addresses risk reduction?
Answer: Advise cessation for at least 4 weeks before and 4 weeks after surgery
Smoking cessation for at least 4 weeks preoperatively significantly reduces the risk of flap necrosis, wound dehiscence, and infection.
A patient with a history of malignant hyperthermia (MH) requires general anesthesia for breast augmentation. The appropriate management is to:
Answer: Avoid all triggering agents and have dantrolene immediately available
MH-susceptible patients must receive a trigger-free anesthetic (TIVA) and dantrolene must be stocked and accessible in the operating room.
When performing a risk-benefit analysis for a patient with a BMI of 42 requesting a combined abdominoplasty and liposuction, the primary concern is:
Answer: Significantly elevated risk for VTE, wound complications, and respiratory events
Morbid obesity dramatically elevates risk for deep vein thrombosis, pulmonary embolism, wound dehiscence, and pulmonary compromise, especially with combined procedures.