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Clinical Preop
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Questions in this quiz (3)
1A 55-year-old man is seen in the preoperative clinic in anticipation of an upcoming hip replacement surgery. His current medical conditions are well controlled, and his vital signs are stable in the clinic. It is appropriate to continue his outpatient medications as currently prescribed until his day of surgery, except for the following medication:
- Ababy aspirin
- Bregular insulin
- Csimvastatin
- Dmetoprolol
2A 62-year-old woman with a past medical history of compensated CHF, atrial fibrillation, and peripheral vascular disease has a recent diagnosis of breast adenocarcinoma. She presents for preoperative evaluation for a modified mastectomy. Her functional capacity at baseline is 2 METs. Her vital signs include a heart rate of 90, blood pressure 135/88, respiratory rate 16, with oxygen saturation of 98% on room air. Based on the current ACC/AHA guidelines and care algorithm, which of the following would be the most appropriate course of action?
- Aproceed with planned surgery
- Bobtain noninvasive cardiac testing for further evaluation
- Cafter improvement in heart rate control, proceed with the planned surgery
- Dpostpone the surgery until her cardiologist approves her for the procedure
323-year-old woman for EGD due to nausea and vomiting. The patient with no notable medical history reported a headache, neck stiffness, double and blurred vision, and transient visual changes when opening her eyes that have persisted for 10 days; however, she had normal visual acuity. She also reported pulse-synchronous tinnitus. She denied having fevers, myalgias, or incontinence. Examination at presentation revealed a healthy-appearing, afebrile woman with heart rate of 110 beats per minute, a body mass index of 35 kg per m2, and nuchal rigidity. Her pupils were equal in size, round, and reactive to light and accommodation. Her vision was 20/20 in both eyes. Funduscopic examination was performed. Based on the patient's history and physical examination, which one of the following is the most likely diagnosis?
- AAseptic meningitis
- BComplicated migraine headache
- CIdiopathic intracranial hypertension
- DMultiple sclerosis
- EPrimary brain tumor
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- Diplomat of ABA Medicine (Fundamental Topics in Anesthesiology) Quiz on Clinical Preop, created by Mike Ru on 07/04/2016.
- Author
- Mike Ru
- Language
- English
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