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Chapter 3. Preoperative Preparation

The American Society of Anesthesiologists patient classification system:

A. Is an approach to preoperatively categorizing patients to assess their risk for an operation.

B. Requires specific measures of certain laboratory values in order to complete the scoring system.

C. Can be used to decide upon whom not to operate. For example, no ASA 5 patients should undergo operations.

D. Includes categories ASA1 through ASA5.

E. Both A and C are true.

The correct answer is A. Is an approach to categorizing patients preoperatively to assess their risk for an operative procedure

After the decision to operate has been made, the evaluation regarding safety to proceed:

A. Is the sole province of the anesthesiologist.

B. Should not take into account the planned operation.

C. Is best performed by specialists not directly invested in the planned operation.

D. Should include a pain assessment to aid in the management of postoperative pain.

E. Both A and C are true.

The correct answer is D. Should include a pain assessment to aid in the management of postoperative pain

Venous thromboembolism risk:

A. Has no relationship to the family history.

B. Is assessed using the RCRI score.

C. Can be modified by risk-based interventions.

D. Has few long-term consequences as long as a pulmonary embolus is not fatal.

E. Frequently should be modified by placement of an inferior vena cava filter preoperatively.

The correct answer is C. Can be modified by risk-based interventions

Diabetes mellitus patients require more operations than patients without diabetes, and if not carefully controlled have increased risks of:

A. Surgical site infection.

B. Perioperative adrenal insufficiency.

C. Perioperative hypoglycemia.

D. A, B, and C are all true.

E. Both A and C are true.

The correct answer is E. Both A and C are true

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