MAC Preoperative Assessment & Patient Evaluation 2

Question 1

When is a preoperative ECG most indicated before elective non-cardiac surgery?

Accepted Answer

In patients with known cardiovascular disease or significant risk factors

Answer

In all patients over 30

Answer

Only in patients with active chest pain

Answer

In all female patients over 50

Question 2

What does a Revised Cardiac Risk Index (RCRI) score of 3 or more indicate?

Accepted Answer

High cardiac risk

Answer

Low cardiac risk

Answer

Intermediate cardiac risk

Answer

No additional workup needed

Question 3

Which medication should typically be continued on the morning of surgery?

Accepted Answer

Beta-blockers for chronic use

Answer

Metformin

Answer

ACE inhibitors

Answer

Anticoagulants

Question 4

A patient reports a latex allergy. What is the most important preoperative intervention?

Accepted Answer

Ensure a latex-free environment in the OR

Answer

Prescribe antihistamines preoperatively

Answer

Cancel the surgery indefinitely

Answer

Administer corticosteroids alone

Question 5

What finding on a preanesthetic evaluation most warrants postponing elective surgery?

Accepted Answer

Recent MI within 60 days

Answer

Blood pressure of 140/90

Answer

Hemoglobin of 11 g/dL

Answer

Controlled type 2 diabetes

Question 6

Which functional capacity assessment best predicts perioperative cardiac risk?

Accepted Answer

Ability to climb two flights of stairs without symptoms

Answer

Ability to lift 20 pounds

Answer

Ability to walk on flat ground for 10 minutes

Answer

Ability to perform overhead activities