Pre-Operative Assessment and Concurrent Morbidity Quiz
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Questions and Answers

Which ASA category is described as an animal with mild systemic disease that is well compensated?

  • ASA category IV
  • ASA category III
  • ASA category I
  • ASA category II (correct)

Which ASA category is described as an animal with severe systemic disease and the animal is not compensating fully?

  • ASA category III (correct)
  • ASA category II
  • ASA category I
  • ASA category IV

Which ASA category is described as an animal with poorly compensated disease, for example where there is a constant threat to life?

  • ASA category III
  • ASA category II
  • ASA category I
  • ASA category IV (correct)

What is a good indicator of myocardial disease in animals with cardiovascular disease?

<p>A gallop rhythm (D)</p> Signup and view all the answers

What can develop in decompensated patients with cardiovascular disease?

<p>Congestive heart failure (B)</p> Signup and view all the answers

Which ASA categories would patients with clinical signs of cardiovascular disease fall into?

<p>ASA categories II-IV (A)</p> Signup and view all the answers

Which hormone is commonly increased in cats with hyperthyroidism?

<p>Thyroid hormone (D)</p> Signup and view all the answers

What is the effect of increased sympathetic tone on cardiac output?

<p>Increased cardiac output (D)</p> Signup and view all the answers

What is the reason for higher oxygen demand in patients with hyperthyroidism?

<p>Increased metabolic requirement (D)</p> Signup and view all the answers

What type of myocardial disease is commonly seen in patients with hyperthyroidism?

<p>Hypertrophic (B)</p> Signup and view all the answers

What is the reason for a gallop rhythm in patients with hyperthyroidism?

<p>LVOTO (D)</p> Signup and view all the answers

What is a potential complication in patients with hyperthyroidism during recovery?

<p>Hypotension (B)</p> Signup and view all the answers

Which hormone is lacking in patients with diabetes insipidus?

<p>ADH (C)</p> Signup and view all the answers

What is the main symptom of diabetes insipidus?

<p>Polyuria (C)</p> Signup and view all the answers

Which disease is characterized by increased circulating cortisol in dogs?

<p>Hyperadrenocorticism (A)</p> Signup and view all the answers

What is a potential complication in patients with hyperadrenocorticism?

<p>Hypertension (D)</p> Signup and view all the answers

Which hormone is lacking in patients with Addison's disease?

<p>Adrenocorticotropic hormone (ACTH) (D)</p> Signup and view all the answers

What are common signs of Addison's disease?

<p>Renal or gastrointestinal signs (C)</p> Signup and view all the answers

What might be a potential consequence of elevated potassium levels in post-renal cases?

<p>Arrhythmias (D)</p> Signup and view all the answers

What is the effect of a drop in blood pressure and cardiac output on renal function?

<p>Compromises renal function (B)</p> Signup and view all the answers

Which of the following is NOT a consideration when anesthetizing a patient with gastrointestinal disease?

<p>Use of cuffed ET tube (D)</p> Signup and view all the answers

What is the purpose of pre-oxygenation in anemic patients prior to anesthesia?

<p>Maintain oxygen delivery to tissues (D)</p> Signup and view all the answers

Why are NSAIDs contraindicated in most renal patients?

<p>They inhibit prostaglandins (C)</p> Signup and view all the answers

Which of the following tests can be used to diagnose signs of left atrial enlargement and pleural/abdominal effusion, indicating a greater risk of congestive heart failure (CHF)?

<p>FAST scan (D)</p> Signup and view all the answers

What might be the effects on glomerular filtration rate (GFR) in patients with cardiac disease?

<p>Pre-renal azotaemia (A)</p> Signup and view all the answers

Which medication(s) should be started in congestive heart failure (CHF) cases?

<p>All of the above (D)</p> Signup and view all the answers

What might be the impact of reduced albumin levels on drug dosing in patients with cardiac disease?

<p>Higher doses may be needed (B)</p> Signup and view all the answers

How might reduced blood flow to the liver affect drug metabolism in patients with cardiac disease?

<p>Slower metabolism (A)</p> Signup and view all the answers

What is the goal of maintaining tissue oxygen delivery under anesthesia in patients with cardiac disease?

<p>Enhance oxygen saturation (B)</p> Signup and view all the answers

Which ASA category is described as an animal with mild systemic disease that is well compensated?

<p>ASA category II (D)</p> Signup and view all the answers

What might be the impact of reduced albumin levels on drug dosing in patients with cardiac disease?

<p>Increased drug toxicity (C)</p> Signup and view all the answers

Why are NSAIDs contraindicated in most renal patients?

<p>They can cause renal vasoconstriction (A)</p> Signup and view all the answers

Which hormone is lacking in patients with Addison's disease?

<p>Aldosterone (D)</p> Signup and view all the answers

What is the reason for a gallop rhythm in patients with hyperthyroidism?

<p>Abnormal heart sounds (B)</p> Signup and view all the answers

What might be a potential consequence of elevated potassium levels in post-renal cases?

<p>Hyperkalemia (C)</p> Signup and view all the answers

Which hormone is commonly increased in patients with hyperthyroidism?

<p>Thyroid hormone (D)</p> Signup and view all the answers

What is the effect of increased sympathetic tone on cardiac output?

<p>Increases cardiac output (B)</p> Signup and view all the answers

What is the potential consequence of elevated potassium levels in patients with hyperthyroidism?

<p>Hyperkalemia (C)</p> Signup and view all the answers

What is the main treatment for hyperthyroidism in cats?

<p>Methimazole (B)</p> Signup and view all the answers

What is a potential complication in patients with hyperthyroidism during recovery?

<p>Hypotension (D)</p> Signup and view all the answers

What is the effect of reduced albumin levels on drug dosing in patients with cardiac disease?

<p>Decreases drug clearance (B)</p> Signup and view all the answers

Which of the following tests can be used to diagnose signs of left atrial enlargement and pleural/abdominal effusion, indicating a greater risk of congestive heart failure (CHF)?

<p>FAST scan (B)</p> Signup and view all the answers

What might be the effects on glomerular filtration rate (GFR) in patients with cardiac disease?

<p>Renal azotaemia (B)</p> Signup and view all the answers

What is a potential consequence of reduced albumin levels in patients with cardiac disease?

<p>Increased unbound and active drug (B)</p> Signup and view all the answers

How might reduced blood flow to the liver affect drug metabolism in patients with cardiac disease?

<p>Decreased drug metabolism (A)</p> Signup and view all the answers

What is the goal of maintaining tissue oxygen delivery under anesthesia in patients with cardiac disease?

<p>Maintain cardiac output and blood pressure (B)</p> Signup and view all the answers

Which ASA category is described as an animal with poorly compensated disease, for example where there is a constant threat to life?

<p>ASA category IV (B)</p> Signup and view all the answers

Which of the following is a potential consequence of reduced albumin levels in patients with chronic GI disease?

<p>Increased free drug concentration (C)</p> Signup and view all the answers

What is the main symptom of hyperadrenocorticism in dogs?

<p>Polyuria and polydipsia (A)</p> Signup and view all the answers

Which of the following is a potential complication in patients with diabetes insipidus?

<p>Hypernatremia (B)</p> Signup and view all the answers

What is the recommended treatment for diabetes insipidus before general anesthesia?

<p>Desmopressin (A)</p> Signup and view all the answers

Which of the following is a potential consequence of decreased cortisol production in patients with hyperadrenocorticism?

<p>Hypoglycemia (C)</p> Signup and view all the answers

What is a potential consideration when anesthetizing patients with hyperadrenocorticism?

<p>Hypoxemia (A)</p> Signup and view all the answers

Which of the following is NOT a consideration when assessing a patient pre-operatively for potential renal issues?

<p>Blood pressure reduction tolerance (A)</p> Signup and view all the answers

What might be the impact of reduced blood flow to the liver on drug metabolism in patients with cardiac disease?

<p>Decreased drug metabolism (D)</p> Signup and view all the answers

What can develop in decompensated patients with cardiovascular disease?

<p>Arrhythmias (A)</p> Signup and view all the answers

Which ASA category is described as an animal with severe systemic disease and the animal is not compensating fully?

<p>ASA IV (A)</p> Signup and view all the answers

What is a potential complication in patients with hyperadrenocorticism?

<p>Hypertension (A)</p> Signup and view all the answers

Which hormone is lacking in patients with Addison's disease?

<p>Aldosterone (B)</p> Signup and view all the answers

Flashcards

ASA Category II

Animal with mild systemic disease, well-compensated.

ASA Category III

Animal with severe systemic disease, not fully compensating.

ASA Category IV

Animal with poorly compensated disease, life-threatening.

Gallop Rhythm

Abnormal heart sound, sign of myocardial disease.

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Congestive Heart Failure

Fluid build-up, heart can't efficiently pump blood.

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Hyperthyroidism

High thyroid hormone level in cats.

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Increased Sympathetic Tone

Higher nervous system activity, increased heart rate.

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Hypertrophic Myocardial Disease

Thickening of heart muscle in hyperthyroidism.

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Diabetes Insipidus

Lack of antidiuretic hormone (ADH) resulting in excessive urination.

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Hyperadrenocorticism

High cortisol levels in dogs.

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Addison's Disease

Lack of adrenocorticotropic hormone (ACTH), low cortisol.

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Hyperkalemia

High potassium levels in blood.

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Pre-renal Azotemia

Kidney issue due to low blood flow.

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FAST Scan

Diagnostic tool for heart/fluid issues.

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Renal Vasoconstriction

Narrowing of blood vessels in the kidneys.

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Polyuria

Excessive urination.

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Polydipsia

Excessive thirst.

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Hypernatremia

High sodium levels in blood.

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Myocardial Disease

Problem with the heart muscle.

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Increased Metabolic Requirement

Higher need for oxygen and energy.

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LVOTO

Left Ventricular outflow tract obstruction.

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Reduced Albumin Levels

Lower than normal albumin in blood.

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Aldosterone

Hormone regulating sodium and potassium balance.

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Pre-oxygenation

Providing extra oxygen before anesthesia.

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