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Basic Science
intermediate
X-Type

Preoperative Medical Optimization

Perioperative Care

A 72-year-old man with hypertension, type 2 diabetes, and a history of myocardial infarction 3 years ago is scheduled for elective total hip arthroplasty. His current medications include metformin, lisinopril, atenolol, and aspirin. His HbA1c is 8.2%, haemoglobin is 110 g/L, and he gets short of breath climbing two flights of stairs. Regarding preoperative cardiac risk assessment:

Mark each as TRUE or FALSE

A

The REVISED CARDIAC RISK INDEX (RCRI/Lee Index) stratifies perioperative cardiac risk using 6 predic...

B

FUNCTIONAL CAPACITY is assessed using METABOLIC EQUIVALENTS (METs); 1 MET = resting oxygen consumpti...

C

The RCRI includes age as a risk factor; orthopaedic surgery is classified as high-risk surgery; pati...

D

PREOPERATIVE CARDIAC TESTING is guided by the ACC/AHA stepwise algorithm: proceed with surgery if em...

E

ACTIVE CARDIAC CONDITIONS requiring evaluation before elective surgery include: unstable coronary sy...

Answer the questions to see explanations

Click T (True) or F (False) for each option