31. Preoperative assessment

Question 1

VPB and surgery

Answer 1

Proceed if < 30, cardiologist if >30

Question 2

Afib and surgery

Answer 2

Cardiologist if HR >100

Question 3

When ACTH higher in surgery

Answer 3

At the end of anesthesia

Question 4

Where is cortisol released?

Answer 4

Adrenal cortex

Question 5

MEN 1
MEN 2

Answer 5

MEN 1. 3P. Pituitary, Parathyroid, Pancreas
MEN 2. Pheochromocytoma, Parathyroid, Thyroid

Question 6

Pheochromocytoma characteristics

Answer 6

Sweating, Headache, Tachycardia

Question 7

BMI predictor of difficult ventilation

Answer 7

BMI > 26

Question 8

ARISCAT values

Answer 8

< 26 risk 1.6%
26-44 risk 13.3%
> 45 Risk 42.1%

Question 9

When contrast induced nephropathy occurs

Answer 9

Increase of Creat 24-48 hours after

Question 10

CHA2DS2 VASc

Answer 10

CHF
HT
Age > 75
DM
Stroke
Vascular
Age (64-75)
Female

Question 11

Severe Aortic Stenosis

Answer 11

MP gradient > 40
Speed > 4
< 1 cm

Question 12

RCRI index
Values

Answer 12

High risk surgery
IHD
CHF
CVA
DM + Insulin
Creat > 2

Question 13

RCRI index risk

Answer 13

0 — 0.4%
1 – 1%
2 – 2.4%
3 or more – 5.4%

Question 14

MET if the patient can climb one floor of stairs

Answer 14

MET 5

Question 15

Stop dabigatran

Answer 15

48 hours
If GFR low 96h

Question 16

Not correspondence between disease and murmur in

Answer 16

Aortic insufficiency
Tricuspid regurgitation

Question 17

1 MET

Answer 17

3.5 ml/kg/min

Question 18

How much time to wait after drug eliciting stent

Answer 18

6 months

Question 19

Check up of implantable devices

Answer 19

Pacemaker once a year
IDF once every 6 months
CR every 3 months

Question 20

duke activity status index importance

Answer 20

exists correlation between gold standard measures of functional capacity in surgical patients

Question 21

Mini cog test

Answer 21

3 words recall + clock draw

Question 22

Frailty determinants

Answer 22

Weight loss, exhaustion, physical activity, walk time, hand grip

Question 23

Blood pressure control before surgery and outcomes

Answer 23

Blood pressure control doesn’t improve outcomes

Question 24

CCS grading

Answer 24

1. Ordinary physical activity
2. Slight limitation of physical activity
3. Marked limitation
4. No physical activity

Question 25

Postponing surgery after BMS / DES

Answer 25

BMS minimum 30 days for non cardiac surgery DES minimum 6 months

Question 26

NYHA classification

Answer 26

1. No limitation 2. Slight limitation 3. Marked limitation 4. Inability to physical activity

Question 27

Elective surgery after decompensated HF

Answer 27

One month

Question 28

Patients with mitral prolapse and significant valve insufficiency

Answer 28

4%

Question 29

Drugs than can cause long QT syndrome

Answer 29

antiarrhythmics, haloperidol, methadone, erythromycin, cisapride and metabolic abnormalities

Question 30

Drugs to avoid in brugada

Answer 30

Propofol, bupivacaine

Question 31

MELD score variables

Answer 31

Bilirubin, creatinine INR

Question 32

Diseases related with pheochromocytoma

Answer 32

Von Hippel Lindau, MEN, neurofibromatosis type1

Question 33

Use of scoline in myotonic dystrophy

Answer 33

Not recommended

Question 34

Recommendation of breastfeeding after surgery with general anesthesia

Answer 34

24 hours

Question 35

Dibucaine number

Answer 35

80 norm 20 patients with delay wake up after scoline (4-8h) 60 50% 100% delay