ABSITE - PREOPERATIVE EVALUATION – QUESTIONS WITH CORRECT ANSWERS 2025

ABSITE - PREOPERATIVE EVALUATION
– QUESTIONS WITH CORRECT
ANSWERS 2025
AM78-year-
oldMmanMisMbroughtMtoMyourMofficeMinMaMwheelchair.MHeMsaysMhisMabdominalMwallMherniaMhasMbeenMgetti
ngMbiggerMandMwondersMifMheMneedsMsurgery.MHeMlooksMthinMandMpale,MbutMinMnoMdistress.MHeMisMmildly
MhypertensiveM(150/90),MhadMaMCABGM3MyearsMprior,MandMisMonMaMstatinMandMaMdiuretic.MHeMfeelsMweak,

MhisMappetiteMisMpoor,MandMheMlivesMinMaMskilledMnursingMfacility.MHeMhasMaM10x8Mnon-

MincarceratedMmidlineMincisionalMhernia.MHisMpostoperativeMriskMisMbestMdeterminedMbyMwhichMofMtheMfo

llowing?

A.MEchocardiogram

B.MPulmonaryMfunctionMtesting

C.MFrailtyMindex

D.MSerumMelectrolytes

E.MAbdominalMCTMscanM-MCORRECTMANSWERM-C.



FrailtyMhasMgainedMinMimportanceMasMaMpredictorMofMpost-
operativeMoutcomes,MespeciallyMinMtheMgeriatricMpopulation.MTheMfrailtyMindexMincludesMfunctional,Mnutr
itionalMandMCharlsonMComorbidityMIndex.MThisMpatientMhadMaMmoderateMcardiacMrisk.MHisMprocedureMisM
electiveMandMaMfrailtyMassessmentMwouldMlikelyMmakeMhimMaMsignificantMrisk.



AM56-year-
oldMfemaleMisMscheduledMtoMundergoMaMtotalMthyroidectomyMforMpapillaryMcarcinoma.MSheMisMcurrentlyMt
akingMwarfarinM(Coumadin)M5MmgMdailyMdueMtoMaMfemoralMDVTM4MmonthsMago.MHerMcurrentMINRMisM2.9.M
RegardingMherManticoagulationMregimen,MwhatMisMtheMmostMappropriateMcourseMofMactionMbeforeMsurger
y?

A.MDecreaseMCoumadinMdoseMtoM1MmgMdailyM7MdaysMbeforeMsurgery.

B.MDecreaseMCoumadinMdoseMtoM1MmgMdailyM5MdaysMbeforeMsurgery.

C.MStopMCoumadinM7MdaysMbeforeMsurgery.

D.MStopMCoumadinM5MdaysMbeforeMsurgery.

E.MStopMCoumadinM3MdaysMbeforeMsurgery.M-MCORRECTMANSWERM-D

, TheMusualMrecommendationMisMtoMwithholdMwarfarinMstartingM4MtoM5MdaysMpreoperativelyM(ifMtheMINRMis
MbetweenM2.0MandM3.0)MtoMallowMtheMINRMtoMdecreaseMtoMlessMthanM1.5,MwhichMisMaMlevelMconsideredMsa

feMforMsurgicalMproceduresMandMneuraxialMblockade.MOnlyMifMtheMINRMisMgreaterMthanM3.0MisMitMusuallyMn
ecessaryMtoMstopMwarfarinMlongerMthanM4MtoM5Mdays.MIfMtheMINRMisMhigherMthanM1.8MtheMdayMofMsurgery,
MaMsmallMdoseMofMvitaminMKM(1MtoM5MmgMadministratedMorallyMorMsubcutaneously)McanMreverseManticoag

ulation.



AM61-year-
oldMmaleMwithMpancreaticMcancerMpresentsMforMpreoperativeMevaluationMpriorMtoMpancreaticoduodenect
omy.MHeMisMunableMtoMwalkMtwoMcityMblocks.MHisMhistoryMisMsignificantMforMGERD,MhyperlipidemiaMandMdi
abetesMmellitus.MWhichMofMtheMfollowingMisManMindicationMthatMthisMpatientMshouldMundergoMaMpreopera
tiveMechocardiogram?

A.MInabilityMtoMwalkMtwoMblocks

B.MHistoryMofMdiabetesMmellitus

C.MHistoryMofMhyperlipidemia

D.MAgeMoverM60Myears

E.MHigh-riskMsurgicalMprocedureM-MCORRECTMANSWERM-A



EchocardiographyMtestingMpreoperativelyMshouldMbeMusedMselectivelyMinMpatientsMatMhighMriskMforMcardia
cMcomplicationsMperioperatively.MThisMincludesMpatientsMwhoMareMunableMtoMachieveMfourMmetabolicMeq
uivalentsM(METs),MdefinedMasMclimbingMtwoMflightsMofMstairsMorMwalkingMfourMcityMblocks.MAchievingMless
MthanM4MMETsMindicatesMpoorMcardiacMreserve,MandMechocardiogramMisMindicatedMbeforeMintermediateM

orMmajorMriskMsurgery.MDiabetes,Mhyperlipidemia,Mage,MandMtheMoperationMriskMareMnotMreasonsMforMpre
operativeMechocardiography.



AM75-year-
oldMmanMcomplainsMofMsevereMrestMpainMinMhisMrightMleg.MHeMhasMnoMpulseMinMtheMfemoralMarteryMorMbe
lowMwithManMABIMindexMofM.2,MbutMnoMgangrene.MHeMhasMpulsesMinMtheMleftMleg.MHisMBPMisM150/80MmmH
g,MpulseM60Mbpm,MRRM18Mbreaths/min.MHeMisMonMclopidogrelM(Plavix),MaMbetaMblocker,MandMaMstatin.MHisM
EKGMandMechocardiogramMshowMnoMacuteMchangesMandMhisMejectionMfractionMisM60%.MWhichMofMtheMfoll
owingMmedicationsMshouldMheMreceiveMtheMdayMofMsurgery?

A.MBetaMblockerMalone

B.MClopidogrelMandMstatin

C.MBetaMblockerMandMstatin

D.MBetaMblocker,Mstatin,MandMlowMmolecularMweightMheparin