Topic: Preoperative Evaluation January 2022
Name:______________________________________ Score: _____
1. As per the Cormack-Lehane (CL) classification of airway, a grade 3 signifies:
a. No part of the glottis can be seen
b. No part of the epiglottis can be seen
c. Only soft palate is visible
d. Only hard palate is visible
2. A 52-year old male with BMI of 42 kg.m2 with history of obstructive sleep apnea
presents for bariatric surgery. On preanesthetic evaluation which of the following
parameter is known to predict the perioperative complications with highest sensitivity?
a. BMI
b. Nocturnal oxygen saturation
c. Apnea hypopnea index
d. Obesity phenotype
3. Which of the following is the most reliable in predicting the absence of residual
neuromuscular blockade at the time of endoctracheal extubation?
a. Sustained head lift for 5 seconds
b. Train of four >0.9
c. Presence of swallowing reflexes
d. Post-tetanic stimulus count
4. An individual has a body mass index of 49, however has no systemic illness and does not
take any medication. His exercise tolerance is good. His American Society of
Anesthesiology (ASA) ohysical status cklassification would be:
a. 1
b. 2
c. 3
d. 4
5. As per the updated report by the American Society of Anesthesiologists Committee on
Standards and Practice Parameters Practice Guidelines for preoperative fasting and the
use of pharmacologic agents to reduce the risk of pulmonary aspiration: application to
healthy patients undergoing elective procedures:
a. Fasting for clear liquids is 2 hours
b. Fasting for clear liquids is 4 hours
c. Fasting for clear liquids is 1 hour
d. Fasting for clear liquids is 3 hours
6. As per the ASA which of the following patient would be labled as ASA class VI
a. Patient with known hypertension and present ST elevation on ECG presenting for
bariatric surgery
b. A 22-year female with critical mitral stenosis presenting for emergency cesarean
delivery.
c. A diabetic patient with electrolyte abnormalities and severe sepsis due to left
lower limb wet gangrene presenting for left lower limb amputation
d. 22-year male brain dead after road accident for renal transplantation (donor)
7. Cessation of smoking for 2 days can:
a. Decrease carboxyhemoglobin levels
b. Reducce the rate of postoperative pulmonary complications
c. Decrease methemoglobin levels
d. Shift the oxygen hemoglobin dissociation curve to left
8. A pregnant female at 36 weeks is being evaluated by the anesthesiologist for elective
cesarean section. Which of the following is true:
a. Anesthetic drug requirements during induction for intubation increase due to
physiologic changes in pregnancy
b. Mask ventilation becomes difficult but laryngoscopic view remains the same
c. Expired oxygen concentration rises faster compared to non-pregnant patients
during pre-oxygenation
d. Chances of aspiration are not increased if spinal block is used
9. Which of the following is true for the present ASA preoperative grading?
a. An 85-year (geriatric) male with no comorbidity is ASA II
b. A 38 year old (advanced maternal age) primigavida is classified as ASA III
c. A 44-year male with diabetes and blood sugar of 194mg/dl is ASA III
d. A brain dead organ donor is ASA V
10. A patient with diagnosed hypertrophic obstructive cardiomyopathy is planned for
emergency surgery. Which of the following correctly describes the hemodynamic
changes which can occur for this patient during surgery?
a. An increase in the preload increases the cardiac complications
b. An increase in contractility decreases the cardiac complications
c. An increase in afterload decreases the cardiac complications
d. An increased heart rate decreases the rate of cardiac complications
11. Which of the following statements is true according to the 2014 Cochrane Database
review regarding perioperative angiotensin-converting enzyme inhibitors (ACEIs) or
angiotensin II type 1 receptor blockers (ARB) for preventing mortality and morbidity in
adults?
a. Perioperative initiation of ACEIs or ARBs therapy should be individualized
b. The review concludes that perioperative ACEIs or ARBs can prevent mortality,
morbidity, and complications
c. There is no reduction in the context of non-cardiac surgery; however, there is an
increase in the incidence of stroke in the context of non-cardiac surgery
d. The results from three studies showed that ACEIs or ARBs may increase the
length og hospital stay, but these findings should be interpreted cautiously
because of the possible influence of the clinical backgrounds of the participants
studied
12. In addition to premedication, parenteral presence during induction of anesthesia in
pediatric patients has been validated in multiple studies. Which of the following age
group patients are likely to benefit from parental presence in the operating room during
anesthesia induction?
a. Birth to 1 month of age
b. From 1 month to 1 year of age
c. From 1 year to 3 years of age
d. From 3 year to 6 years of age
13. Regarding the New York Heart Association (NYHA) Functional Classification:
a. It is concerned only with cardiac failure
b. It is concerned with all hear diseases
c. It is concerned with only ischemic hear disease
d. It is based on the severe of patient’s symptoms irrespective of objective
assessment
14. Which of the following “neuromuscular block” monitoring methods can be used to
evaluate the most profound paralysis?
a. Single muscle twitch stimulation
b. Train of four
c. Double burst stimulation
d. Post tetanic count
15. In a child on breast milk, presenting for an elective procedure under anesthesia:
a. Breast milk should not be treated as clear fluids
b. Breast milk should be treated as clear fluids
c. Although breast milk does not delay gastric emptying, it can cause significant
pulmonary injury if aspirated
d. Breast milk can cause significant pulmonary injury if aspirated, however it has no
effect on gastric emptying
