Perioperative Medicine (Preop & Comorbidities)

Which statement about coronary revascularization before noncardiac surgery is MOST accurate?

Which factors are included in the Revised Cardiac Risk Index (RCRI)?

A METs cut-off commonly used to defer/alter testing is:

Timing of elective surgery after **balloon angioplasty without stent**?

Minimum delay after **bare-metal stent** placement for elective noncardiac surgery?

Minimum delay after **drug-eluting stent** for stable CAD before elective surgery?

Perioperative antiplatelet plan in a recent stent when surgery cannot be delayed?

Warfarin management for elective surgery (standard bleeding risk)?

Which patient most clearly needs **heparin bridging** when stopping warfarin?

Typical perioperative hold for a DOAC (normal renal function, high-bleeding-risk surgery)?

Perioperative **β-blocker** plan?

ACE inhibitor/ARB management for major GA?

Statin therapy around surgery:

Diabetes—morning of surgery for basal-bolus insulin (NPO):

SGLT2 inhibitor perioperative plan (e.g., empagliflozin):

Metformin preop:

OSA screening tool commonly used:

Best periop plan for known OSA on CPAP?

Smoking cessation interval with most benefit for PPC reduction:

Routine preoperative chest X-ray in asymptomatic patients:

Routine PFTs for nonthoracic surgery:

Optimal preop management of COPD/asthma:

Which finding favors delaying elective surgery for hypertension?

Which electrolyte level commonly prompts postponement of elective anesthesia?

Adrenal suppression risk threshold for “stress-dose” steroids:

Suggested stress-dose regimen for major surgery in suppressed patients:

Frailty and perioperative risk:

Malnutrition marker associated with poor outcomes:

Alcohol use disorder—best prevention of withdrawal:

IE (infective endocarditis) prophylaxis is recommended for:

Perioperative DVT prophylaxis after major abdominal/pelvic cancer surgery:

Prior stroke/TIA—preferred interval before elective noncardiac surgery:

Severe aortic stenosis periop goals:

Pheochromocytoma preop sequence:

Hypothyroidism and elective surgery:

Hyperthyroidism preop plan:

Preop testing strategy:

Anemia optimization before elective surgery:

Perioperative **delirium** prevention in older adults:

Renal disease—dialysis timing before elective surgery:

Which preoperative cardiac risk tool best incorporates procedure-specific risk and functional status?

Reasonable strategy for high-risk patients with poor METs (<4) undergoing intermediate-risk surgery?

Postoperative troponin surveillance is most appropriate in:

Which surgery carries the highest pulmonary complication risk?

Best evidence-based intervention to reduce postoperative pulmonary complications?

COPD optimization preop includes:

Which OSA/OHS statement is TRUE?

Best airway/extubation plan for severe OSA with difficult airway history?

Perioperative management of pacemaker-dependent patient for monopolar cautery surgery?

Which anticoagulated patient needs periop warfarin bridging most?

Typical DOAC management (normal renal function) for low-bleeding-risk surgery?

Neuraxial anesthesia and platelets—typical threshold in absence of other coagulopathy?

Which cirrhosis patient is MOST appropriate for elective major surgery?

Coagulation in cirrhosis—what’s MOST accurate?

Optimization for tense ascites preop:

Diabetes with severe gastroparesis—aspiration strategy?

DKA/HHS identified preop—best approach?

Hypo- vs hyperthyroidism—who can proceed?

Parkinson disease periop medication plan:

Myasthenia gravis and NMBs—most accurate?

Carcinoid syndrome—key intraoperative prophylaxis?

Sickle cell disease—periop priority?

Rheumatoid arthritis anesthesia concern:

Which drug should generally be continued perioperatively?

Which medications to withhold morning of surgery due to hypoglycemia risk NPO?

Alcohol use disorder—key prophylaxis?

Pregnancy testing preop in women of childbearing potential:

Antibiotic prophylaxis timing for incision:

Perioperative anemia—target hemoglobin strategy?

Steroid exposure conferring adrenal suppression risk:

Which electrolyte derangement warrants correction before elective anesthesia?

Perioperative delirium prevention best practice:

Chronic steroid user on the morning of surgery—what to do?

Hypertrophic obstructive cardiomyopathy (HOCM) goals:

Pulmonary hypertension—what should be AVOIDED?

Chronic kidney disease—periop analgesic to avoid?

Antiphospholipid syndrome—periop concern?

Obstructive jaundice coagulopathy—first-line correction?

Frailty—what is TRUE?

Ethics of DNR in the OR:

Herbal medicines—when should most be stopped preoperatively to avoid interactions/bleeding?

St John’s wort perioperative concern?

Which supplement most increases bleeding risk perioperatively?

Chronic alcohol use—most appropriate prophylaxis bundle?

Cannabis use—key perioperative consideration?

Cocaine-positive patient asymptomatic with normal vitals/ECG—best plan?

Perioperative management of chronic SSRI therapy?

Which antibiotic requires redosing every 2 hours intraop due to short half-life?

Caprini score use?

Perioperative atrial fibrillation with RVR—first-line rate control in stable patient?

Newly elevated troponin post-op without ischemic symptoms—most accurate statement?

G6PD deficiency—analgesic to avoid?

Perioperative steroid coverage—minor procedures in suppressed patient?

Hypothermia prevention with highest impact?

Perioperative hyponatremia (Na 122) with confusion—best correction strategy?

Refeeding syndrome risk marker in malnourished patient starting nutrition?

Which COPD patient should receive preop antibiotics?

Chronic opioid therapy—preop instruction?

CKD on hemodialysis—best potassium threshold to proceed?

Liver disease and opioids—preferred agent?

Obstructive jaundice coagulopathy—most appropriate initial correction?

Pheochromocytoma intraop hypotension after tumor vein ligation—best treatment?

Acute adrenal crisis signs under anesthesia?

Perioperative delirium—strongest pharmacologic precipitant to avoid?

High-altitude flatland patient—periop concern shortly after arrival?

ACEi/ARB continuation in heart failure with reduced EF undergoing major surgery?

Statins around noncardiac surgery—most accurate?

Neuraxial anesthesia in patient on dual antiplatelet therapy for recent DES?

Nutrition screening tool linked to periop outcomes?

COPD/asthma—preferred induction agent during bronchospasm?

Hyperthyroid crisis (thyroid storm) signs include:

Parkinson disease antiemetic of choice?

Myasthenia gravis—postop ventilatory risk correlates with:

OSA patient requiring opioids—most appropriate PACU plan?

Which condition benefits from periop β-blocker continuation but careful titration?

ESRD—opioid with problematic metabolite accumulation?

Sickle cell trait (not disease)—periop approach?

Post-op nausea/vomiting high-risk patient after failed ondansetron prophylaxis—best PACU rescue?

Which preop test best predicts postoperative renal complications after major surgery?

Capacity and consent—what is TRUE?