Mksap 16 General Im 03 Perioperative Medicine

Front 1

Examples when preop tests should be ordered (4)

Back 1

preg test (women of reproductive age); cervical XR (RA); crea (risk for CKD), K (diuretic use)

Front 2

most widely used preoperative cardiac risk stratification scheme

Back 2

revised cardiac risk index (RCRI)

Front 3

three groups of patients in whom the risk of perioperative cardiac complications is low enough that preoperative cardiac evaluation is rarely, if ever, warranted (ACC/AHA)

Back 3

undergoing low-risk surgery, at least moderate exercise capacity (>4 METS), low exercise capacity but no RCRI risk factors.

Front 4

when should preoperative noninvasive cardiac testing be considered?

Back 4

poor or unknown exercise tolerance based on presence and number of RCRI risk factors and nature of the surgery, provided that results will impact management

Front 5

when is B-blocker recommended perioperatively (ACC/AHA)?

Back 5

patients with CAD undergoing vascular surgery; intermed or high risk surgeries, including vascular surgeries in patients with >1 RCRI risk factor

Front 6

when to start B blocker perioperatively if indicated?

Back 6

few weeks before surgery, start low and titrate to control HR and BP without hypotensio nor bradycardia

Front 7

when is preoperative spirometry indicated?

Back 7

unexplained dyspnea