Preoperative medication

Question 1

Is the only acetylcholinesterase inhibitor that crosses

the blood-brain barrier and can be used to treat the central anticholinergic syndrome?

Answer 1

Physostigmine

Question 2

Preoperative fasting recommendation in black coffee?

Answer 2

2 hours

Question 3

Preoperative fasting recommendation in carbonated beverages?

Answer 3

2 hours

Question 4

Preoperative fasting recommendation in fruit juices with pulp?

Answer 4

4 hours

Question 5

Preoperative fasting recommendation in formula milk?

Answer 5

6 hours

Question 6

Coagulation studies should be no more than?

Answer 6

1 week

Question 7

Among the most common risk factors for postoperative pulmonary complications (PPCs) are(2)

Answer 7

COPD

Advanced age

Question 8

Current gold standard for preoperative cardiac assessment?

Answer 8

ACC/AHA guidelines

Question 9

The four active cardiac conditions that will likely result in surgical cancellation to allow further cardiac evaluation and treatment are

Answer 9

1) Unstable ACS
2) Decompensated heart failure
3) Significant cardiac arrhythmia
4) Severe valvular disease

Question 10

Nicotine is a stimulant and has a half-life of only?

Answer 10

1-2 hours

Question 11

Nicotine’s adverse effects on systolic blood pressure and heart rate can be seen after only ___ hours of smoking cessation.

Answer 11

12

Question 12

Carbon monoxide (CO), which diminishes
oxygen-carrying capacity, has a half-life of only \_\_ hours

Answer 12

4

Question 13

The longer a patient can abstain from smoking before surgery, the greater the perioperative
health benefit:

Bronchociliary function improves within __ to __ days

Sputum volume decreases to normal levels within about.

Answer 13

2-3 days

2 weeks

Question 14

A study of 120 orthopedic surgery patients randomized to receive an intervention to help them stop smoking _______ before surgery saw a dramatic decrease in the overall complication rate in the smoking cessation
group, mainly from diminished wound infections.

Answer 14

6 to 8 weeks

Question 15

The Revised Cardiac Risk Index 6 components

Answer 15

1) IHD
2) CHF
3) CVA
4) Insuline
5) Surgery
6) Crea

Question 16

Risk of Major Cardiac Event
Points --->Risk %
0 (Class 1)
1 (II)
2 (III)
3 or more (IV)

Answer 16

Class 1 - 0.4%
Class 2 - 0.9%
Class 3 - 6.6%
Class 4 - 11%

Question 17

There is evidence that the risk of pulmonary complications may remain high for at least __ weeks and possibly __ to ___ weeks after a URI

Answer 17

2

6-7