Preoperative risk assessment and perioperative medical management as tested on USMLE Step 3.
40 cards · basic cards · AI-written, checked twice. Edit anything.
- What clinical prediction tool estimates a patient's risk of a major cardiac event during noncardiac surgery using six risk factors?
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The Revised Cardiac Risk Index (RCRI)- In the RCRI, what serum creatinine level counts as a risk factor?
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Serum creatinine greater than 2.0 mg/dL- In the RCRI, which type of diabetes management counts as a risk factor?
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Insulin-dependent diabetes mellitus- In the RCRI, a history of what neurologic condition counts as a risk factor?
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Cerebrovascular disease (prior stroke or TIA)- In the RCRI, a history of what cardiac condition counts as a risk factor?
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Ischemic heart disease- Which categories of surgery count as 'high-risk surgery' in the RCRI?
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Intraperitoneal, intrathoracic, or suprainguinal vascular surgery- In the RCRI, a history of what condition involving fluid overload counts as a risk factor?
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Congestive heart failure- How does the RCRI risk of a major cardiac event change as the number of present risk factors increases?
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Risk of a major perioperative cardiac event rises with each additional risk factor present- What does ASA Physical Status Class I describe?
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A normal, healthy patient- What does ASA Physical Status Class II describe?
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A patient with mild systemic disease- What does ASA Physical Status Class III describe?
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A patient with severe systemic disease- What does ASA Physical Status Class IV describe?
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A patient with severe systemic disease that is a constant threat to life- What does ASA Physical Status Class V describe?
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A moribund patient not expected to survive without the operation- What does ASA Physical Status Class VI describe?
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A brain-dead patient whose organs are being removed for donation- What MET (metabolic equivalent) level is used as the threshold for adequate functional capacity before noncardiac surgery?
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4 METs
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