Risk Assessment

Question 1

A one-year-old Golden Retriever is presented for an elective OVH. The patient is healthy with no abnormal historical and general exam findings. The PCV is 34%, TP is 6 g/dl, and glucose is 90 mg/dl. How would you classify the ASA for this patient?

Answer 1

ASA I

Question 2

True or false: You should have at least two anesthesia menus for your practice.

Answer 2

True - one for high risk and one for low risk

Question 3

True or false: The gastrointestinal system is considered one of the most critical body systems with which we, as anesthetists, should be concerned perioperatively.

Answer 3

FALSE

cardiovascular, renal, respiratory, and neurologic systems matter most

Question 4

The pre-anesthetic laboratory test recommended for a healthy 2-month old puppy presented for corneal ulcer repair should include:

A. CBC, chemistry, UA
B. CBC, chemistry, coagulation
C. PCV, TP
D. PCV, TP, glucose

Answer 4

A

Question 5

A mildly anemic cat (PCV 29%) with chronic renal insufficiency, PU/PD at home, presents for elective dental prophylaxis. How would you classify the ASA for this patient?

Answer 5

III

Question 6

True or false: One should utilize intravascular premedications for patients with increased body condition score (BCS).

Answer 6

True - IM drugs are likely to become intra-fat

Question 7

Which ASA scores are considered low risk?

Answer 7

I and II

Question 8

True or false: Despite the evidence-based literature, some form of pre-anesthesia laboratory testing is generally recommended for all general anesthesia cases preoperatively.

Answer 8

True

Question 9

Which of the following would not be considered essential review points for ASA assessment of a patient?

A. Acepromazine finalized for premed
B. “double bubble” findings on radiographs
C. history of back pain
D. low PCV
E. tachycardia

Answer 9

A

Question 10

A 10-year-old Chihuahua presents for a repair of his left patellar luxation. You detect a heart murmur. The owner mentions that “Fluffy” used to be a very active dog but in the last few months she is getting tired easily and can’t walk the same distances as before. Fluffing has also been coughing intermittently. What do you recommend to the owner?

A. cardiac workup, thoracic radiographs before anesthesia
B. workup done after surgery
C. full course of antibiotics for cough before anesthesia
D. Fluffy will be fine after after the patellar repair and back to her former active self

Answer 10

A