Preoperative Guidelines and Considerations Quiz

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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?

Pregnancy 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?

Airway assessment Signup and view all the answers

What is a cyst?

A collection of fluid in a sac lined by endo or epithelium Signup and view all the answers

How are ulcers classified?

By the cause: TB, Pyogenic, Vascular, Neurogenic, Basal cell, Squamous cell Signup and view all the answers

What is the edge of an ulcer characterized by?

Eroded, everted, inverted Signup and view all the answers

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

Infection Signup and view all the answers

What makes a cyst different from an ulcer?

Lining of the sac and the presence of a breach in the surface Signup and view all the answers

What is the role of general practitioners in preoperative assessment?

Facilitate weight reduction and encourage healthy habits in patients. Signup and view all the answers

Why should a chaperone always be present during medical examinations?

To maintain privacy and prevent any misunderstandings or allegations. Signup and view all the answers

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. Signup and view all the answers

Why is it important to check and treat infections preoperatively?

To minimize the risk of complications and improve surgical outcomes. Signup and view all the answers

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

For all major surgeries. Signup and view all the answers

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. Signup and view all the answers

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 Signup and view all the answers

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

Laryngeal edema 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:

Operative factors Signup and view all the answers

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

Renal failure Signup and view all the answers

What is a common factor leading to postoperative renal failure?

High-risk cases Signup and view all the answers

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

Pre-existing infections like perforated appendix Signup and view all the answers

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

2 hours Signup and view all the answers

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

3-6 months Signup and view all the answers

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

All of the above Signup and view all the answers

At what BMI level does nutritional impairment typically start?

15-18.5 Signup and view all the answers

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

Every 2 hours Signup and view all the answers

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

With half their regular dose of insulin Signup and view all the answers