Preoperative Evaluation and Preparation

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15 Questions

What is the purpose of organizing preoperative care and the operating list?

To ensure patient safety and optimize their condition

What is an important aspect of preoperative assessment related to the patient's airway?

Mentothyroid distance measurement

What is the significance of a Modified Mallampati classification in preoperative assessment?

To evaluate the patient's airway

Why is it important to evaluate the patient's history of difficult intubation?

To prepare for potential airway challenges during anesthesia

What is the normal Mentosternum distance in adults?

15 cm

What is the purpose of routine investigations like CBC, Urine analysis, and X-ray chest in preoperative evaluation?

To evaluate the patient's overall health status

What is the recommended interval of NPO (nil per os) for solid diet before surgery in children?

6-8 hours

In what condition should elective surgery be delayed for a patient with a diastolic blood pressure (DBP) ≥ 110 mmHg?

With signs of end organ damage

What is the role of β-adrenergic blockers (e.g., atenolol, propanolol) in perioperative care?

Decrease sympathetic response

When should aspirin be discontinued before elective surgery?

One week before

What is the recommended interval of NPO for clear liquid diet before surgery in children?

2 hours

In which scenario is elective non-cardiac surgery more likely to be postponed post myocardial infarction (MI)?

Reinfarction is more likely within 3-6 months

What is the recommended duration for smoking cessation before elective surgery to decrease postoperative pulmonary complications?

$4-8$ weeks

For high risk patients, what form of DVT prophylaxis is indicated before surgery?

Pneumatic stockings

Which antihypertensive medications are usually continued before surgery?

Calcium channel blockers

This quiz covers the importance of organizing preoperative care, assessing surgical, medical, and anesthetic aspects, optimizing the patient's condition, and obtaining consent. It also includes specific questions for history and examination, such as past surgery history, medication, and allergies.

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