Perioperative Care

Perioperative Care

Perioperative Care

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Вопрос 1 of 12

1. Вопрос
Which index is commonly used to estimate risk of major cardiac complications before noncardiac surgery?
- Revised Cardiac Risk Index (RCRI)
- APACHE II
- CURB-65
- MELD
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Вопрос 2 of 12

2. Вопрос
When is preoperative noninvasive cardiac stress testing indicated?
- Poor/unknown functional capacity with elevated surgical risk and results expected to change management
- Any patient >50 years
- Everyone with hypertension
- All before general anesthesia
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Вопрос 3 of 12

3. Вопрос
Perioperative beta-blockers: best practice?
- Continue chronic therapy; avoid initiating high-dose beta-blockers on the day of surgery
- Stop all beta-blockers 24 h pre-op
- Start max dose morning of surgery
- Use PRN only if tachycardic
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Вопрос 4 of 12

4. Вопрос
Perioperative statins: which is true?
- Continue statins; consider initiation in vascular surgery if otherwise indicated
- Stop to avoid rhabdomyolysis
- Start and double dose day of surgery
- Statins are contraindicated around anesthesia
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Вопрос 5 of 12

5. Вопрос
A patient with a drug-eluting coronary stent placed 3 months ago needs elective hernia repair. Best plan?
- Postpone elective surgery until the recommended DAPT period is complete
- Stop both antiplatelets now and proceed
- Continue aspirin only and proceed tomorrow
- Give LMWH “bridge” for antiplatelets
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Вопрос 6 of 12

6. Вопрос
Which patient requires perioperative “bridging” when stopping warfarin?
- Mechanical mitral valve or recent (12 months) DVT; — All patients on warfarin.
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Вопрос 7 of 12

7. Вопрос
DOAC (e.g., apixaban) hold time before high-bleeding-risk surgery with normal renal function?
- ~48 hours
- 6 hours
- 7 days
- No need to hold
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Вопрос 8 of 12

8. Вопрос
Endocarditis prophylaxis is indicated for which scenario?
- High-risk cardiac condition (e.g., prosthetic valve) undergoing invasive dental procedure with gingival manipulation
- Any colonoscopy
- All orthopedic surgeries
- Clean dermatologic excisions
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Вопрос 9 of 12

9. Вопрос
Smoking cessation before elective surgery—optimal timing to reduce pulmonary complications?
- ≥4 weeks prior (earlier is better)
- Must be ≥1 year or no benefit
- Avoid quitting within 4 weeks
- Only day-of matters
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Вопрос 10 of 12

10. Вопрос
Which preop intervention reduces postoperative pulmonary complications?
- Incentive spirometry education and lung expansion strategies with early mobilization
- Routine preop steroids
- Prolonged bed rest
- High-FiO₂ post-op without indication
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Вопрос 11 of 12

11. Вопрос
Obstructive sleep apnea (OSA) perioperative plan?
- Use multimodal analgesia, minimize opioids, continue CPAP, and consider continuous oximetry monitoring
- Avoid CPAP post-op
- PCA with high basal rate
- No monitoring beyond PACU
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Вопрос 12 of 12

12. Вопрос
Perioperative glycemic target for most adults?
- 140–180 mg/dL
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Неверно

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