Preoperative Optimization Practice Questions

Question 1

What should be the minimum value of HbA1c to safely carry out a surgical procedure in an emergency setting?

Accepted Answer

<10

Answer

<7

Answer

<8

Answer

<8

Question 2

Which of the following is not a component of damage control surgery?

Accepted Answer

Definitive repair

Answer

Control of contamination

Answer

Control of hemorrhage

Answer

Temporary closure

Question 3

Nil per oral orders for an 8-year-old child posted for elective nasal polyp surgery at 8 AM include all of the following EXCEPT:

Accepted Answer

Milk can be taken at 7 AM in morning

Answer

Apple juice can be taken at 10 PM previous night

Answer

Can take sips of water up to 6 AM in morning

Answer

Rice can be consumed at 11 PM previous night

Question 4

A patient with a non-obstructing carcinoma of the sigmoid colon is being prepared for elective resection. To minimize the risk of postoperative infectious complications, what should be included in your planning?

Accepted Answer

A single preoperative parenteral dose of antibiotic effective against aerobes and anaerobes may provide initial coverage.

Answer

Postoperative administration for 5 to 7 days of parenteral antibiotics effective against aerobes and anaerobes

Answer

Postoperative administration for 2 to 4 days of parenteral antibiotics effective against aerobes and anaerobes

Answer

Avoidance of oral antibiotics to prevent emergence of Clostridioides difficile

Question 5

What is the correct sequence of medication administration for pre-operative prophylaxis in pheochromocytoma?

Accepted Answer

Alpha blockade followed by beta blockade

Answer

Beta blockade followed by alpha blockade

Answer

Simultaneous alpha and beta blockade

Answer

Alpha blockade only

Question 6

Patients who need surgery within 24 hours are categorized under which color category in a disaster management triage?

Accepted Answer

Yellow

Answer

Green

Answer

Blue

Answer

Black

Question 7

Which one of the following is not a component of THORACOSCORE?

Accepted Answer

Complication of surgery

Answer

Performance status

Answer

Priority of surgery

Answer

ASA grading

Question 8

45 year old woman is posted for elective incisional hernia repair. On reviewing her history, she is known hypertensive patient for the past 10 years on regular captopril. What is your concern for the patient

Accepted Answer

Continue captopril until the day of surgery to maintain blood pressure control.

Answer

Stop captopril a week before surgery and switch to a calcium channel blocker like amlodipine.

Answer

Stop captopril a week before surgery and restart only if needed.

Answer

Stop captopril one day before surgery to prevent intraoperative hypotension.

Question 9

All of the following are indicators of adequacy of pre-operative resuscitation except

Accepted Answer

C-reactive protein level

Answer

Hematocrit level

Answer

Consciousness level

Answer

Urine output

Question 10

A 45-year-old patient underwent laparoscopic cholecystectomy following ERAS protocol. Postoperatively, the patient received multimodal analgesia with paracetamol, NSAIDs, and local anesthetic infiltration but still reports pain score of 7/10. Opioid consumption has been minimal. Which aspect of ERAS multimodal analgesia was likely inadequate in this case?

Accepted Answer

Inadequate intraoperative local anesthetic infiltration at port sites

Answer

Non-administration of ketamine infusion

Answer

Excessive restriction of opioids leading to inadequate analgesia

Answer

Lack of preemptive analgesia with gabapentin

Preoperative Optimization — MCQs

Preoperative Optimization — MCQs

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