MAC Preoperative Assessment & Patient Evaluation 3

Question 1

What is the primary purpose of the preanesthetic evaluation?

Accepted Answer

To identify and optimize medical conditions before anesthesia

Answer

The preanesthetic evaluation identifies medical conditions that could affect anesthetic management and optimizes patient status before surgery.

Question 2

A patient with obstructive sleep apnea (OSA) requires what special consideration during preoperative planning?

Accepted Answer

Plan for potentially difficult airway and heightened respiratory monitoring

Answer

OSA is associated with a potentially difficult airway and increased sensitivity to opioids and sedatives, requiring enhanced monitoring plans.

Question 3

Which preoperative test is routinely indicated for a healthy 35-year-old male undergoing elective inguinal hernia repair?

Accepted Answer

No routine tests required

Answer

Healthy ASA I patients undergoing low-risk procedures do not require routine preoperative laboratory testing per evidence-based guidelines.

Question 4

How should a patient's home SSRI be managed before elective surgery?

Accepted Answer

Continue throughout the perioperative period

Answer

SSRIs should generally be continued perioperatively as abrupt discontinuation can cause withdrawal syndrome.

Question 5

What is the significance of the STOP-BANG questionnaire in preoperative assessment?

Accepted Answer

It screens for obstructive sleep apnea risk

Answer

The STOP-BANG questionnaire screens for OSA risk using 8 yes/no questions to identify high-risk patients before surgery.

MAC - Maintaining Anesthesia Certification Practice Test