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preoperative assessment

Practice targeted AMC-style multiple-choice questions on preoperative assessment.

Related Topics

gallstonesgeneral practiceabdominal painaustralian guidelinescardiologychest painelderly patienthypertensionmiddle-aged womansurgery

A 67-year-old man with a history of hypertension and type 2 diabetes is scheduled for elective cholecystectomy due to symptomatic gallstones. During the preoperative assessment, he mentions experiencing mild chest discomfort during exertion over the past few weeks. What is the most appropriate next step in his preoperative management?

A. Start the patient on aspirin and beta-blockers immediately
B. Order a preoperative chest X-ray
C. Refer for a cardiology evaluation and possible stress testing
D. Proceed with surgery as planned with close intraoperative monitoring
E. Schedule an urgent coronary angiogram
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A 45-year-old woman presents to her GP with recurrent episodes of biliary colic. An ultrasound confirms the presence of multiple gallstones. She is otherwise healthy with no significant past medical history. After discussing management options, she opts for a laparoscopic cholecystectomy. Which of the following is the MOST appropriate next step in her preoperative assessment, according to Australian guidelines?

A. Routine liver function tests (LFTs) and coagulation studies
B. Cardiologic assessment with ECG
C. Upper endoscopy to exclude other causes of abdominal pain
D. Hepatobiliary iminodiacetic acid (HIDA) scan to assess gallbladder function
E. Magnetic resonance cholangiopancreatography (MRCP) to rule out choledocholithiasis
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