28 Questions
Which factor is NOT listed as a risk factor for thrombosis in patients with diabetes undergoing major surgery?
Airway assessment
What BMI level is considered a risk factor for thrombosis in patients with diabetes undergoing major surgery?
>30 kg/m2
Which of the following medical conditions is NOT mentioned as a risk factor for thrombosis in the text?
Rheumatoid arthritis
Which of the following is NOT a factor contributing to blood sugar control difficulties necessitating an insulin sliding scale?
Pregnancy
Apart from age and obesity, which of the following is mentioned as a risk factor specifically related to surgery for thrombosis?
Airway assessment
What is a cyst?
A collection of fluid in a sac lined by endo or epithelium
How are ulcers classified?
By the cause: TB, Pyogenic, Vascular, Neurogenic, Basal cell, Squamous cell
What is the edge of an ulcer characterized by?
Eroded, everted, inverted
In examining an ulcer, what does a watery discharge typically indicate?
Infection
What makes a cyst different from an ulcer?
Lining of the sac and the presence of a breach in the surface
What is the role of general practitioners in preoperative assessment?
Facilitate weight reduction and encourage healthy habits in patients.
Why should a chaperone always be present during medical examinations?
To maintain privacy and prevent any misunderstandings or allegations.
In the context of preoperative assessment, what is the purpose of assessing past medical history?
To identify potential risks and manage them effectively before surgery.
Why is it important to check and treat infections preoperatively?
To minimize the risk of complications and improve surgical outcomes.
According to UK National Institute of Health and Clinical Excellence (NICE) guidelines, when are investigations typically more necessary?
For all major surgeries.
Why is it recommended to postpone elective surgery if a patient is found to be anemic?
To prevent complications related to anemia during or after surgery.
What are the factors contributing to anemia, vitamin deficiency, steatorrhea, and/or diarrhea after extensive resection or gastrectomy?
A combination of preop, operative, and postop factors
Which of the following is considered a postoperative complication related to upper airway obstruction?
Laryngeal edema
Inadequate sterilization of surgical instruments, hands, dressing, and contamination by nasal or skin carriers among staff are examples of:
Operative factors
Which of the following is NOT a potential cause of postoperative hypoxia?
Renal failure
What is a common factor leading to postoperative renal failure?
High-risk cases
Which of the following contributes to postoperative complications at a patient's return to the ward?
Pre-existing infections like perforated appendix
What is the recommended time frame for infants to have a clear drink before anesthesia?
2 hours
For how long should elective surgery be postponed after a myocardial infarction?
3-6 months
What should patients with hiatus hernia, obesity, pregnancy, and diabetes take before surgery?
All of the above
At what BMI level does nutritional impairment typically start?
15-18.5
For patients with diabetes, how often should their blood sugar levels be checked?
Every 2 hours
When should patients on the afternoon surgery list be given breakfast?
With half their regular dose of insulin
Test your knowledge on preoperative guidelines and considerations, including fasting recommendations for infants, children, elderly, and diabetics, administration of routine medications, and postponing elective surgery after a myocardial infarction. Stay informed on when to start intravenous fluids and delay surgery post-coronary stent placement.
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