ASA-PeriOp – Perioperative Medicine CME
questions and answers 2025
1. Which preoperative evaluation is most critical for a patient with
known coronary artery disease?
A. Pulmonary function tests
B. Cardiac risk assessment
C. Abdominal ultrasound
D. Electroencephalogram
Answer: B
2. What is the primary goal of perioperative medicine?
A. Enhance surgical precision
B. Optimize patient condition before, during, and after surgery
C. Reduce anesthesia costs
D. Improve operating room turnover
Answer: B
3. Which of the following is a high-risk surgery according to the
ACC/AHA guidelines?
A. Cataract surgery
B. Major vascular surgery
C. Breast lumpectomy
D. Minor dermatologic excision
Answer: B
4. Which laboratory test is most useful in evaluating coagulation
status before surgery?
,A. Complete blood count
B. Serum creatinine
C. Prothrombin time (PT/INR)
D. Electrolyte panel
Answer: C
5. What is the recommended fasting period for clear liquids before
elective surgery?
A. 8 hours
B. 6 hours
C. 2 hours
D. 12 hours
Answer: C
6. Which perioperative complication is most common in elderly
patients?
A. Acute renal failure
B. Postoperative delirium
C. Pulmonary embolism
D. Anaphylaxis
Answer: B
7. Which scoring system is commonly used to assess surgical risk in
cardiac patients?
A. ASA Physical Status Classification
B. Revised Cardiac Risk Index (RCRI)
C. APACHE II
D. Glasgow Coma Scale
Answer: B
,8. Which drug class should generally be continued perioperatively in
hypertensive patients?
A. ACE inhibitors
B. Beta-blockers
C. Calcium channel blockers
D. Diuretics
Answer: B
9. Which electrolyte disturbance increases the risk of perioperative
arrhythmias?
A. Hypernatremia
B. Hypokalemia
C. Hypermagnesemia
D. Hypercalcemia
Answer: B
10. Which of the following surgeries carries the highest risk for venous
thromboembolism?
A. Appendectomy
B. Hip fracture repair
C. Tonsillectomy
D. Hernia repair
Answer: B
11. Which intraoperative monitoring tool is essential for patients
under general anesthesia?
A. Blood glucose meter
B. Pulse oximeter
C. Arterial blood gas analyzer
, D. EEG monitor
Answer: B
12. What is the most common cause of postoperative fever in the first
24 hours?
A. Wound infection
B. Pulmonary embolism
C. Atelectasis
D. Catheter-associated infection
Answer: C
13. Which patient factor most increases the risk of surgical site
infection?
A. Age over 40
B. Poorly controlled diabetes
C. ASA score of II
D. History of hypertension
Answer: B
14. Which antibiotic is typically used for surgical prophylaxis in clean-
contaminated cases?
A. Vancomycin
B. Cefazolin
C. Ciprofloxacin
D. Azithromycin
Answer: B
15. Which preoperative test is unnecessary in asymptomatic patients
undergoing low-risk surgery?
A. ECG
B. Chest X-ray
questions and answers 2025
1. Which preoperative evaluation is most critical for a patient with
known coronary artery disease?
A. Pulmonary function tests
B. Cardiac risk assessment
C. Abdominal ultrasound
D. Electroencephalogram
Answer: B
2. What is the primary goal of perioperative medicine?
A. Enhance surgical precision
B. Optimize patient condition before, during, and after surgery
C. Reduce anesthesia costs
D. Improve operating room turnover
Answer: B
3. Which of the following is a high-risk surgery according to the
ACC/AHA guidelines?
A. Cataract surgery
B. Major vascular surgery
C. Breast lumpectomy
D. Minor dermatologic excision
Answer: B
4. Which laboratory test is most useful in evaluating coagulation
status before surgery?
,A. Complete blood count
B. Serum creatinine
C. Prothrombin time (PT/INR)
D. Electrolyte panel
Answer: C
5. What is the recommended fasting period for clear liquids before
elective surgery?
A. 8 hours
B. 6 hours
C. 2 hours
D. 12 hours
Answer: C
6. Which perioperative complication is most common in elderly
patients?
A. Acute renal failure
B. Postoperative delirium
C. Pulmonary embolism
D. Anaphylaxis
Answer: B
7. Which scoring system is commonly used to assess surgical risk in
cardiac patients?
A. ASA Physical Status Classification
B. Revised Cardiac Risk Index (RCRI)
C. APACHE II
D. Glasgow Coma Scale
Answer: B
,8. Which drug class should generally be continued perioperatively in
hypertensive patients?
A. ACE inhibitors
B. Beta-blockers
C. Calcium channel blockers
D. Diuretics
Answer: B
9. Which electrolyte disturbance increases the risk of perioperative
arrhythmias?
A. Hypernatremia
B. Hypokalemia
C. Hypermagnesemia
D. Hypercalcemia
Answer: B
10. Which of the following surgeries carries the highest risk for venous
thromboembolism?
A. Appendectomy
B. Hip fracture repair
C. Tonsillectomy
D. Hernia repair
Answer: B
11. Which intraoperative monitoring tool is essential for patients
under general anesthesia?
A. Blood glucose meter
B. Pulse oximeter
C. Arterial blood gas analyzer
, D. EEG monitor
Answer: B
12. What is the most common cause of postoperative fever in the first
24 hours?
A. Wound infection
B. Pulmonary embolism
C. Atelectasis
D. Catheter-associated infection
Answer: C
13. Which patient factor most increases the risk of surgical site
infection?
A. Age over 40
B. Poorly controlled diabetes
C. ASA score of II
D. History of hypertension
Answer: B
14. Which antibiotic is typically used for surgical prophylaxis in clean-
contaminated cases?
A. Vancomycin
B. Cefazolin
C. Ciprofloxacin
D. Azithromycin
Answer: B
15. Which preoperative test is unnecessary in asymptomatic patients
undergoing low-risk surgery?
A. ECG
B. Chest X-ray
