Preoperative Assessment & Patient Evaluation Flashcards
6 cards from real MAC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Preoperative Assessment & Patient Evaluation flashcards as text
When is a preoperative ECG most indicated before elective non-cardiac surgery?
Answer: In patients with known cardiovascular disease or significant risk factors
Preoperative ECG is recommended for patients with known cardiovascular disease or significant risk factors per ACC/AHA guidelines.
What does a Revised Cardiac Risk Index (RCRI) score of 3 or more indicate?
Answer: High cardiac risk
An RCRI score ≥3 identifies patients at high risk for major adverse cardiac events perioperatively.
Which medication should typically be continued on the morning of surgery?
Answer: Beta-blockers for chronic use
Chronic beta-blockers should be continued perioperatively to avoid rebound hypertension and tachycardia.
A patient reports a latex allergy. What is the most important preoperative intervention?
Answer: Ensure a latex-free environment in the OR
Creating a latex-free environment with latex-free gloves and equipment is the primary prevention strategy for latex-allergic patients.
What finding on a preanesthetic evaluation most warrants postponing elective surgery?
Answer: Recent MI within 60 days
Recent myocardial infarction within 60 days significantly elevates perioperative cardiac risk, warranting postponement of elective surgery.
Which functional capacity assessment best predicts perioperative cardiac risk?
Answer: Ability to climb two flights of stairs without symptoms
The ability to climb two flights of stairs corresponds to ≥4 METs, indicating adequate functional capacity and lower cardiac risk.