Pre-op exam questions & answers 2023/2024

Pre-op exam questions & answers 2023/2024 Goal of a pre-op eval of a patient - ANSWER-To detect unrecognized disease and risk factors that may increase the risk of surgery Screening questionnaire purpose - ANSWER-Estimate perioperative risk Learn about pts medical history, health status, and lifestyle factors Tailor preop plan to address specific pt needs Why is age a risk factor? - ANSWER-Increase risk for infection, especially with multiple comorbidities Why is weight a risk factor? - ANSWER-Mainly risk factor for post-op Why do we ask about smoking history? - ANSWER-More likely to get an infection Why do we ask about thyroid condition? - ANSWER-Hyper = arrhythmias/HF Hypo = coma/HF Why do we ask about kidney disease? - ANSWER-Anesthesia Many meds go through kidneys Why do we ask about loose, chipped, or false teeth? - ANSWER-Aspiration How does exercise affect risk? - ANSWER-Pts with good exercise tolerance generally have low risk How does medication use affect risk? - ANSWER-NSAIDs increase risk of periop bleeding