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Perioperative Assessment Flashcards

7 cards from real CFA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Perioperative Assessment flashcards as text

  1. A patient scheduled for elective surgery has a serum creatinine of 2.4 mg/dL. What is the PRIMARY concern for the first assistant?

    Answer: Impaired drug clearance and increased anesthetic sensitivity

    Elevated creatinine indicates renal impairment, which delays drug clearance and increases sensitivity to anesthetics and other perioperative medications.

  2. During a preoperative assessment, the patient reports taking warfarin for atrial fibrillation. Which lab value is MOST critical to review before proceeding?

    Answer: International normalized ratio (INR)

    INR directly measures the anticoagulant effect of warfarin and is the standard test used to guide perioperative anticoagulation management.

  3. A patient has a BMI of 48. Which perioperative complication should the first assistant anticipate most vigilantly?

    Answer: Difficult airway and respiratory compromise

    Morbid obesity significantly increases the risk of difficult intubation and postoperative pulmonary complications including hypoxia and atelectasis.

  4. Which ASA physical status classification describes a patient with severe systemic disease that is a constant threat to life?

    Answer: ASA IV

    ASA IV describes a patient with a severe systemic disease that is a constant threat to life, while ASA V is a moribund patient not expected to survive without surgery.

  5. A patient undergoing preoperative assessment reports smoking one pack per day for 20 years. Which pulmonary function change is MOST expected?

    Answer: Reduced FEV1 and air trapping

    Chronic smoking causes obstructive pulmonary disease, characterized by reduced FEV1, decreased FEV1/FVC ratio, and air trapping.

  6. When reviewing a patient's preoperative ECG, which finding would require immediate notification of the surgeon and anesthesiologist?

    Answer: Newly discovered left bundle branch block

    A new left bundle branch block may indicate acute myocardial infarction or significant cardiac pathology and requires immediate evaluation before elective surgery.

  7. A patient with a known latex allergy is scheduled for a laparoscopic cholecystectomy. What is the MOST important preoperative action?

    Answer: Ensure a latex-free environment is prepared in the OR

    The highest priority is ensuring a completely latex-free operative environment, including all instruments, gloves, and supplies, to prevent anaphylaxis.