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15 Cards in this Set

  • Front
  • Back
Which of the following procedures was not being performed at the end of the 19th century?
A hysterectomy
B appendectomy
C cesarean section
D mammoplasty
D mammoplasty
Baseline red blood cell studies are routine before operations that are likely to cause blood loss of more than
A 100 mL
B 250 mL
C 500 mL
D 1000 mL
C 500 mL
Preoperative urinalysis is routinely performed in
A all patients scheduled for surgery.
B patients with a history of urinary tract infections.
C patients with an elevated white blood cell count.
D patients who are having joint replacement or orthopedic implant surgery.
D patients who are having joint replacement or orthopedic implant surgery.
Which of the following studies is mandatory in patients undergoing intracranial surgery?
A BNP
B Reticulocyte count
C Coagulation studies
D ALT
C Coagulation studies
Which of the following are recommended for all patients over the age of 40 who are about to undergo major surgery?
A BUN/creatinine
B ALT/AST
C PT/PTT
D Amylase/lipase
A BUN/creatinine
How long does it take for amylase and lipase enzymes to appear in the urine in cases of severe pancreatic inflammation?
A 8 to 12 hours
B 24 hours
C 1-2 days
D 2-4 days
D 2-4 days
CEA and CA-125 are examples of:
A malignant neoplasms.
B tumor markers.
C chemotherapy protocols.
D all of the above.
B tumor markers.
Tumor markers are useful in
A detecting recurrence of a tumor after surgical excision.
B evaluating extent of metastasis.
C forecasting carcinoma potential in healthy persons.
D staging and grading malignancy.
A detecting recurrence of a tumor after surgical excision.
Which of the following factors related to physicians/surgeons led to the widespread practice of ordering preoperative screening tests?
A Fear about malpractice litigation.
B Obsession with routine and standardization of practice.
C Fascination with objective data.
D All of the above.
D All of the above.
Which of the following statements about preoperative laboratory testing was true 25 years ago?
A Preoperative laboratories were only ordered when clinically indicated.
B Laboratory testing performed in the presurgical outpatient setting during initial diagnostic assessment did not have to be repeated at time of admission.
C Preoperative laboratory testing had to be performed within 72 hours before surgery.
D Preoperative CBC, urinalysis and chest x-ray were mandated only for surgical procedures requiring general anesthesia.
C Preoperative laboratory testing had to be performed within 72 hours before surgery.
What is the primary reason for increased scrutiny of routine preoperative testing in the latter decades of the 20th century?
A The emergence of managed care.
B The influence of health insurance companies over clinical decision-making.
C Consumer demand for cost efficiency.
D The influence of malpractice and litigation.
A The emergence of managed care.
Why was mandated preoperative testing found to be unwarranted?
A No clinical evidence was found to show the testing to be cost-effective.
B Controlled studies failed to show rationale for almost half the tests routinely ordered.
C Studies showed abnormal results were overlooked or unnecessarily led to delays in surgery and prolongation of hospital stay.
D All of the above.
D All of the above.
For every two tests performed, the probability of one of them being abnormal is
A 2%
B 5%
C 10%
D 15%
C 10%
What is the most reliable assessment of surgical risk in a preoperative patient?
A Diagnostic testing trends over the previous 5 years prior to surgery.
B Past surgical history and postoperative response.
C The history and physical examination coupled with all available results from prior testing.
D Routine CBC and chest x-ray.
C The history and physical examination coupled with all available results from prior testing.
Who is typically responsible for preoperative assessment of healthy, low-risk patients who are about to undergo elective surgery?
A primary care physician
B operating physician
C facility coordinator
D anesthesiologist
D anesthesiologist