Preoperative Assessment

Question 1

What is the STOPBANG criteria?

Answer 1

Snoring
Tired
Observed apnoea
Blood Pressure

BMI >35kg/m2
Age >50yo
Neck circumference >40cm
Gender Male

Question 2

History points in pre-anaesthetic assessment (7)

Answer 2

1. Drug allergies
2. Medications
3. Previous anaesthetic
4. Family history
5. Cigarettes, alcohol, illicit drugs
6. Past medical history
7. Exercise tolerance

Question 3

Airway examination aspects

Answer 3

Mouth opening
Mallampati score
Dentition
Thyromental distance (inferior border of mandible to thyroid cartilage)
Jaw protrusion
Cervical spine movement

Question 4

Timing of fasting for surgery

Answer 4

2 hours for water and preoperative carbohydrate drinks

6 hours for everything else, including cigarettes

Question 5

COMMON risks of general and regional anaesthesia to mention in consent process

Answer 5

Sore throat
Hoarse voice
Bruising from IV cannula
Post op nausea/vomiting

Question 6

UNCOMMON risks of general and regional anaesthesia to mention in consent process

Answer 6

Post op breathing and respiratory difficulties
Damage to lips/tongue/eyes/teeth
Peripheral nerve damage
Allergies to medication

Question 7

RARE risks of general and regional anaesthesia to mention in consent process

Answer 7

Awareness
Anaphylaxis
Death

Question 8

How is malignant hyperthermia inherited and diagnosed?

Answer 8

Inherited in autosomal dominant fashion

Diagnosed by CHCT (Caffeine Halothane Contracture Test) on muscle biopsy

Question 9

What nerve is most commonly damaged during anaesthesia?

Answer 9

Ulnar nerve