1. Preoperative Evaluation

Question 1

CARDIAC RISK ASSESSMENT includes ?

Answer 1

• For a patient less than 35 years old with no cardiac history: Obtain elec- trocardiogram (ECG); if normal, no further workup required.
• For a patient of any age with cardiac history, or for an older patient: Ob- tain ECG; consider stress test and echocardiogram.

Question 2

Stress test is positive if ?

Answer 2

Stress test is positive if ST depressions > 0.2 mV are present or if there is an inadequate response of heart rate to stress or hypotension.

Question 3

assessment for noncardiac surgery is done by ?

Answer 3

Goldman’s risk assessment.

- For Probability of life-threatening complications.

Question 4

ANTIBIOTIC PROPHYLAXIS By Type of Surgery ?

Answer 4

1. In general: Cefazolin.
2. Colorectal surgery, appendectomy: Cefoxitin or cefotetan.
3. Urologic procedures: Ciprofloxacin.
4. Head and neck: Cefazolin or clindamycin and gentamicin.

• Single dose 30 minutes prior to skin incision, and again 6 hours later if operation is ongoing.