Preoperative Guidelines and Considerations Quiz
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Questions and Answers

Which factor is NOT listed as a risk factor for thrombosis in patients with diabetes undergoing major surgery?

  • Pregnancy/puerperium
  • Reduced mobility for more than 3 days
  • Airway assessment (correct)
  • Trauma or surgery

What BMI level is considered a risk factor for thrombosis in patients with diabetes undergoing major surgery?

  • >40 kg/m2
  • >30 kg/m2 (correct)
  • >35 kg/m2
  • >25 kg/m2

Which of the following medical conditions is NOT mentioned as a risk factor for thrombosis in the text?

  • Obesity
  • Diabetes mellitus
  • Varicose veins with phlebitis
  • Rheumatoid arthritis (correct)

Which of the following is NOT a factor contributing to blood sugar control difficulties necessitating an insulin sliding scale?

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

Apart from age and obesity, which of the following is mentioned as a risk factor specifically related to surgery for thrombosis?

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

What is a cyst?

<p>A collection of fluid in a sac lined by endo or epithelium (A)</p> Signup and view all the answers

How are ulcers classified?

<p>By the cause: TB, Pyogenic, Vascular, Neurogenic, Basal cell, Squamous cell (B)</p> Signup and view all the answers

What is the edge of an ulcer characterized by?

<p>Eroded, everted, inverted (C)</p> Signup and view all the answers

In examining an ulcer, what does a watery discharge typically indicate?

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

What makes a cyst different from an ulcer?

<p>Lining of the sac and the presence of a breach in the surface (B)</p> Signup and view all the answers

What is the role of general practitioners in preoperative assessment?

<p>Facilitate weight reduction and encourage healthy habits in patients. (B)</p> Signup and view all the answers

Why should a chaperone always be present during medical examinations?

<p>To maintain privacy and prevent any misunderstandings or allegations. (D)</p> Signup and view all the answers

In the context of preoperative assessment, what is the purpose of assessing past medical history?

<p>To identify potential risks and manage them effectively before surgery. (D)</p> Signup and view all the answers

Why is it important to check and treat infections preoperatively?

<p>To minimize the risk of complications and improve surgical outcomes. (B)</p> Signup and view all the answers

According to UK National Institute of Health and Clinical Excellence (NICE) guidelines, when are investigations typically more necessary?

<p>For all major surgeries. (D)</p> Signup and view all the answers

Why is it recommended to postpone elective surgery if a patient is found to be anemic?

<p>To prevent complications related to anemia during or after surgery. (B)</p> Signup and view all the answers

What are the factors contributing to anemia, vitamin deficiency, steatorrhea, and/or diarrhea after extensive resection or gastrectomy?

<p>A combination of preop, operative, and postop factors (A)</p> Signup and view all the answers

Which of the following is considered a postoperative complication related to upper airway obstruction?

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

Inadequate sterilization of surgical instruments, hands, dressing, and contamination by nasal or skin carriers among staff are examples of:

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

Which of the following is NOT a potential cause of postoperative hypoxia?

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

What is a common factor leading to postoperative renal failure?

<p>High-risk cases (B)</p> Signup and view all the answers

Which of the following contributes to postoperative complications at a patient's return to the ward?

<p>Pre-existing infections like perforated appendix (A)</p> Signup and view all the answers

What is the recommended time frame for infants to have a clear drink before anesthesia?

<p>2 hours (B)</p> Signup and view all the answers

For how long should elective surgery be postponed after a myocardial infarction?

<p>3-6 months (A)</p> Signup and view all the answers

What should patients with hiatus hernia, obesity, pregnancy, and diabetes take before surgery?

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

At what BMI level does nutritional impairment typically start?

<p>15-18.5 (C)</p> Signup and view all the answers

For patients with diabetes, how often should their blood sugar levels be checked?

<p>Every 2 hours (B)</p> Signup and view all the answers

When should patients on the afternoon surgery list be given breakfast?

<p>With half their regular dose of insulin (C)</p> Signup and view all the answers

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