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Category: Cardiology--->Assessment for Surgery
Page: 4

Question 16# Print Question

You are asked to see a 78-year-old man who is due to have elective abdominal aortic aneurysm repair surgery in 6 weeks. He reports exertional angina.

In addition to managing vascular risk factors, including continuing beta-blocker, ACE inhibitor, and statin, which one of the following is most appropriate?

A. This is high-risk surgery; no further assessment will change management
B. Recommend coronary angiography to establish intraoperative risk
C. Recommend nuclear myocardial perfusion scan to establish intraoperative risk
D. Recommend cardiac MRI to establish intraoperative risk
E. Recommend coronary CT to establish intraoperative risk


Question 17# Print Question

A 56-year-old woman is assessed for knee replacement surgery. She has a history of angina and had elective coronary angioplasty to a lesion in the right coronary artery 2 years previously. She is limited by arthritis but can climb two flights of stairs without difficulty. She reports no angina. 

Which one of the following would you recommend to assess perioperative risk?

A. She should have a stress echocardiogram
B. She should have a bicycle stress test
C. She does not need any cardiac testing
D. She should have a nuclear perfusion scan
E. She should have a cardiac MRI


Question 18# Print Question

In which one of the following patients is carotid endarterectomy recommended?

A. A female with previous TIA and carotid stenosis 65%
B. A female with no previous TIA/stroke and unilateral carotid stenosis 95%
C. A male with no previous TIA/stroke and unilateral carotid stenosis 85%
D. A male with recent TIA and 65% carotid stenosis
E. A male with previous TIA and 75% carotid stenosis


Question 19# Print Question

Which one of the following is used as a cardiac surgery risk score?

A. EuroSCORE
B. TIMI score
C. GRACE
D. HASBLED
E. Syntax


Question 20# Print Question

Which one of the following factors does not add to the euroSCORE II risk?

A. Exertional angina
B. Lung disease
C. Myocardial infarction 6 days previously
D. Insulin-controlled diabetes
E. Pulmonary arterial systolic pressure of 45 mmHg




Category: Cardiology--->Assessment for Surgery
Page: 4 of 5