Nokea
Which of the following pieces of medical history would be pertinent regarding a patient being assessed to undergo a major abdominal surgery?
- A. Recent seizures
- B. History of rubella
- C. Has had multiple lacerations sutured
- D. Takes medication for cardiac problems
- E. Is allergic to milk
Correct Answer: A,D
Rationale: Seizures and cardiac medications are critical to assess for surgical risks, such as anesthesia complications or cardiac stress.
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For which of the following patients would it be appropriate to schedule his or her surgery in a surgery center as opposed to a hospital setting?
- A. A patient with severe chronic respiratory disease who needs an appendectomy
- B. A patient with an above-the-knee amputation who needs a breast biopsy
- C. An elderly patient with hypertension and diabetes who needs a resection of the colon
- D. A patient with hemophilia who needs a tonsillectomy
Correct Answer: B
Rationale: A breast biopsy is a minor procedure suitable for a surgery center, especially for a patient with stable conditions.
Which of the following patients is scheduled for palliative surgery?
- A. A patient scheduled for tonsillectomy due to repeated throat infections
- B. A patient scheduled for repair of a gastric ulcer due to lack of healing with medication
- C. A patient scheduled for removal of an untreatable cancerous brain tumor due to its impingement on the optic nerve
- D. A patient scheduled for breast enlargement so that her body shape will be better balanced
- E. A patient scheduled for a hysterectomy (removal of female reproductive organs) due to severe endometriosis
Correct Answer: C
Rationale: Palliative surgery, like removing a tumor to relieve symptoms (e.g., optic nerve pressure), aims to improve quality of life, not cure.
What are the purposes for administering preop medication?
- A. Decrease risk of infection
- B. Prevent aspiration during anesthesia
- C. Decrease intraoperative anesthesia
- D. Convenience to surgical staff
Correct Answer: B,C
Rationale: Preop medications reduce aspiration risk (e.g., antacids) and minimize anesthesia needs (e.g., sedatives).
A male patient about to be scheduled for a major surgery tells the physician that he has been diagnosed with some kind of serious problem of his liver but can't remember the name of the disorder. About which of the following might the physician be concerned as a direct result of the patient's statement?
- A. The patient's ability to tolerate IV fluids
- B. The patient's ability to urinate after surgery
- C. The ability of the patient's blood to clot
- D. The patient's ability to maintain adequate body temperature during anesthesia
Correct Answer: C
Rationale: Liver dysfunction can impair clotting factor production, increasing bleeding risk during surgery.
Which of the following tests are performed on most surgical patients preop?
- A. Electrocardiogram, complete blood count, and urinalysis
- B. Magnetic resonance imaging, serum sodium level, and esophagogastroduodenoscopy
- C. Lumbar puncture, urine culture and sensitivity, and blood type
- D. Chest x-ray, finger stick blood sugar, and electrolytes
Correct Answer: A
Rationale: ECG, CBC, and urinalysis are standard preoperative tests to assess cardiac, hematologic, and renal function.