Examination for Module 9: Peri-Operative Cardiac Risk Reduction

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Full Name - (Please enter province/country of Practice ie JOHN SMITH - Ontario/Canada):
OCCUPATION:
Anesthesiologist
GP Anesthesiologist
Medical/Surgical Specialist
Medical Specialist
Certified Registered Nurse Anesthetist
Nurse
Allied Medical Professional
Other
EMAIL:
 
[1] A routine preoperative EKG is of little use in determining perioperative risk in patients at high risk for cardiac complications.
True
False
[2] At present, the evidence supports the use of a dobutamine stress echocardiogram as the best test for perioperative screening.
True
False
[3] Nitrous oxide should be avoided in patients at high risk of developing postoperative cardiac complications.
True
False
[4] Lipid lowering agents have been found to be useful in decreasing perioperative cardiac events in high risk populations.
True
False
[5] Patients undergoing elective noncardiac surgery may benefit from preoperative prophylactic coronary revascularization if they have three or more risk factors and signs of ischemia.
True
False
[6] Perioperative beta blockade has been shown to decrease overall mortality as well as myocardial ischemia and stroke.
True
False
[7] Statins must be started at least one week prior to surgery in order to decrease the perioperative death rate.
True
False
[8] Left ventricular dysfunction as seen on 2D echo increases the risk of perioperative cardiac complications.
True
False
[9] Acute withdrawal of beta blockers during the postoperative period may increase the incidence of perioperative cardiac events.
True
False
[10] In patients with known coronary artery disease undergoing intermediate risk surgery, perioperative beta blockade should be initiated well in advance of the operative procedure.
True
False
[11] Inhalational agents that appear to decrease the risk of perioperative MI include isoforane, sevoflurane and desflurane.
True
False
[12] The cardioprotective effect of perioperative ASA is seen at all doseage levels.
True
False
[13] Effective management of postoperative pain is important in decreasing the perioperative stress response.
True
False
[14] In combination with ASA, NSAIDS have a beneficial effect in reducing perioperative thrombo - embolic events.
True
False
[15] Patients with ≥ 2 risk factors on the revised cardiac risk indices should be sent for further preoperative investigations.
True
False
[16] Patients who are unable to walk up one flight of stairs are at an increased risk of having a perioperative cardiac event.
True
False
[17] The major cause of post percutaneous coronary intervention morbidity and mortality is stent thrombosis.
True
False
[18] The lipid lowering effect of statins is the major mechanism responsible for the perioperative cardiac protective effects.
True
False
[19] All patients with evidence of vascular disease should be started on perioperative statin therpy, regardless of their cholesterol levels.
True
False
[20] Tight glycemic control perioperatively has shown a decrease in overall mortality but has no effect on postoperative renal failure.
True
False