Pre-Operative Assessment and Concurrent Morbidity Quiz

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59 Questions

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

ASA category II

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

ASA category III

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

ASA category IV

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

A gallop rhythm

What can develop in decompensated patients with cardiovascular disease?

Congestive heart failure

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

ASA categories II-IV

Which hormone is commonly increased in cats with hyperthyroidism?

Thyroid hormone

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

Increased cardiac output

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

Increased metabolic requirement

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

Hypertrophic

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

LVOTO

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

Hypotension

Which hormone is lacking in patients with diabetes insipidus?

ADH

What is the main symptom of diabetes insipidus?

Polyuria

Which disease is characterized by increased circulating cortisol in dogs?

Hyperadrenocorticism

What is a potential complication in patients with hyperadrenocorticism?

Hypertension

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

Adrenocorticotropic hormone (ACTH)

What are common signs of Addison's disease?

Renal or gastrointestinal signs

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

Arrhythmias

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

Compromises renal function

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

Use of cuffed ET tube

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

Maintain oxygen delivery to tissues

Why are NSAIDs contraindicated in most renal patients?

They inhibit prostaglandins

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)?

FAST scan

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

Pre-renal azotaemia

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

All of the above

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

Higher doses may be needed

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

Slower metabolism

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

Enhance oxygen saturation

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

ASA category II

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

Increased drug toxicity

Why are NSAIDs contraindicated in most renal patients?

They can cause renal vasoconstriction

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

Aldosterone

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

Abnormal heart sounds

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

Hyperkalemia

Which hormone is commonly increased in patients with hyperthyroidism?

Thyroid hormone

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

Increases cardiac output

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

Hyperkalemia

What is the main treatment for hyperthyroidism in cats?

Methimazole

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

Hypotension

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

Decreases drug clearance

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)?

FAST scan

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

Renal azotaemia

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

Increased unbound and active drug

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

Decreased drug metabolism

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

Maintain cardiac output and blood pressure

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

ASA category IV

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

Increased free drug concentration

What is the main symptom of hyperadrenocorticism in dogs?

Polyuria and polydipsia

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

Hypernatremia

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

Desmopressin

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

Hypoglycemia

What is a potential consideration when anesthetizing patients with hyperadrenocorticism?

Hypoxemia

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

Blood pressure reduction tolerance

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

Decreased drug metabolism

What can develop in decompensated patients with cardiovascular disease?

Arrhythmias

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

ASA IV

What is a potential complication in patients with hyperadrenocorticism?

Hypertension

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

Aldosterone

Test your knowledge on pre-operative assessment and concurrent morbidity in this quiz. Learn about factors to consider, such as dehydration, anemia, chronic disease, and acute post-renal azotemia. Explore the importance of palpating a distended bladder and gathering a thorough patient history.

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