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

Preoperative ECG is recommended for patients with known cardiovascular disease or significant risk factors per ACC/AHA guidelines.

Question 2

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

Accepted Answer

High cardiac risk

Answer

An RCRI score ≥3 identifies patients at high risk for major adverse cardiac events perioperatively.

Question 3

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

Accepted Answer

Beta-blockers for chronic use

Answer

Chronic beta-blockers should be continued perioperatively to avoid rebound hypertension and tachycardia.

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

Creating a latex-free environment with latex-free gloves and equipment is the primary prevention strategy for latex-allergic patients.

Question 5

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

Accepted Answer

Recent MI within 60 days

Answer

Recent myocardial infarction within 60 days significantly elevates perioperative cardiac risk, warranting postponement of elective surgery.

MAC - Maintaining Anesthesia Certification Practice Test