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15 Cards in this Set
- Front
- Back
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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
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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
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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.
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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
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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
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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
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CEA and CA-125 are examples of:
A malignant neoplasms. B tumor markers. C chemotherapy protocols. D all of the above. |
B tumor markers.
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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.
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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.
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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.
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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.
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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.
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For every two tests performed, the probability of one of them being abnormal is
A 2% B 5% C 10% D 15% |
C 10%
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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.
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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
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