Pre-operative assessment MCQs – Anesthesia

By: Prof. Dr. Fazal Rehman Shamil | Last updated: September 13, 2024

Pre-operative Assessment MCQs – Anesthesia

1. What is the primary goal of pre-operative assessment?
   a) To determine the surgical approach
   b) To evaluate the patient’s risk and optimize their condition
   c) To choose the anesthesia type
   d) To schedule the surgeryAnswer: b) To evaluate the patient’s risk and optimize their condition
2. Which of the following is a key component of a pre-operative assessment?
   a) Surgical procedure details
   b) Post-operative pain management plan
   c) Patient’s medical history and comorbidities
   d) Choice of surgical instrumentsAnswer: c) Patient’s medical history and comorbidities
3. What should be assessed regarding a patient’s cardiovascular system during pre-operative assessment?
   a) Blood type and crossmatch
   b) Presence of arrhythmias or heart disease
   c) Allergy history
   d) History of smokingAnswer: b) Presence of arrhythmias or heart disease
4. Which laboratory test is often required before major surgeries to assess renal function?
   a) Hemoglobin A1c
   b) Serum electrolytes
   c) Blood glucose
   d) Liver function testsAnswer: b) Serum electrolytes
5. What is the purpose of assessing the airway during pre-operative evaluation?
   a) To determine the type of incision
   b) To predict potential difficulties with intubation and ventilation
   c) To choose the appropriate local anesthetic
   d) To decide on the post-operative recovery planAnswer: b) To predict potential difficulties with intubation and ventilation
6. Which of the following conditions is a contraindication for certain types of anesthesia?
   a) Diabetes mellitus
   b) Hypertension
   c) Severe pulmonary disease
   d) History of migraineAnswer: c) Severe pulmonary disease
7. What is a common pre-operative assessment for patients with diabetes?
   a) Checking serum glucose levels
   b) Evaluating kidney function only
   c) Confirming the presence of cardiac arrhythmias
   d) Measuring blood oxygen levelsAnswer: a) Checking serum glucose levels
8. Which pre-operative assessment is important for patients with a history of obstructive sleep apnea?
   a) Assessing liver function
   b) Evaluating airway patency and ventilation needs
   c) Checking for allergies
   d) Evaluating mobilityAnswer: b) Evaluating airway patency and ventilation needs
9. In which patient group is the assessment of liver function particularly crucial?
   a) Pediatric patients
   b) Elderly patients
   c) Patients with a history of alcohol abuse
   d) Patients with asthmaAnswer: c) Patients with a history of alcohol abuse
10. What should be done if a pre-operative assessment reveals a high risk of thromboembolism?
    a) Proceed with surgery without any changes
    b) Initiate prophylactic anticoagulation therapy
    c) Delay the surgery indefinitely
    d) Perform additional imaging studiesAnswer: b) Initiate prophylactic anticoagulation therapy
11. What is the significance of a patient’s ASA (American Society of Anesthesiologists) classification?
    a) It determines the type of anesthesia to be used
    b) It helps assess the patient’s overall physical status and anesthesia risk
    c) It indicates the length of the surgical procedure
    d) It assesses the likelihood of post-operative complicationsAnswer: b) It helps assess the patient’s overall physical status and anesthesia risk
12. Which pre-operative assessment is crucial for patients on anticoagulant therapy?
    a) Serum cholesterol levels
    b) Complete blood count
    c) Coagulation profile
    d) Liver enzyme testsAnswer: c) Coagulation profile
13. What should be done if a patient has a history of adverse reactions to anesthesia?
    a) Administer the same anesthetic agents used previously
    b) Document the reactions and consult with an anesthesiologist for alternative plans
    c) Avoid using any anesthetic agents
    d) Proceed without any special precautionsAnswer: b) Document the reactions and consult with an anesthesiologist for alternative plans
14. Which of the following is a key consideration for pre-operative assessment in pediatric patients?
    a) Adult dosages of anesthetics
    b) Assessment of developmental milestones
    c) Evaluation of bone density
    d) Adult-sized endotracheal tubesAnswer: b) Assessment of developmental milestones
15. For a patient with a history of asthma, what is an important pre-operative assessment?
    a) Serum potassium levels
    b) Pulmonary function tests
    c) Liver function tests
    d) Renal function testsAnswer: b) Pulmonary function tests
16. What is the importance of pre-operative fasting guidelines?
    a) To reduce the risk of surgical site infection
    b) To minimize the risk of aspiration during anesthesia
    c) To avoid post-operative nausea
    d) To ensure adequate hydrationAnswer: b) To minimize the risk of aspiration during anesthesia
17. Which of the following should be reviewed in a pre-operative assessment for a patient undergoing elective surgery?
    a) Patient’s home environment
    b) Detailed surgical procedure
    c) Patient’s current medications and allergies
    d) The surgeon’s credentialsAnswer: c) Patient’s current medications and allergies
18. What is the significance of assessing a patient’s body mass index (BMI) before surgery?
    a) It helps determine the choice of surgical instruments
    b) It provides information on potential complications related to anesthesia and surgery
    c) It helps estimate the length of the surgical procedure
    d) It determines the need for pre-operative antibioticsAnswer: b) It provides information on potential complications related to anesthesia and surgery
19. Which of the following conditions may require additional pre-operative cardiology evaluation?
    a) Recent history of myocardial infarction
    b) Stable hypertension
    c) Controlled diabetes mellitus
    d) AsthmaAnswer: a) Recent history of myocardial infarction
20. What should be considered when assessing a patient with renal impairment for surgery?
    a) Potential for increased sensitivity to anesthesia and altered drug metabolism
    b) Necessity of a longer fasting period
    c) The likelihood of increased bleeding risk
    d) Necessity of pre-operative antibioticsAnswer: a) Potential for increased sensitivity to anesthesia and altered drug metabolism
21. In pre-operative assessment, why is it important to evaluate the patient’s functional status?
    a) To determine the type of anesthesia to be used
    b) To estimate the patient’s ability to tolerate surgery and recover
    c) To decide the type of surgical incision
    d) To select the appropriate surgical teamAnswer: b) To estimate the patient’s ability to tolerate surgery and recover
22. Which test is crucial for pre-operative assessment in patients with a history of liver disease?
    a) Complete blood count
    b) Serum electrolytes
    c) Liver function tests
    d) Blood glucose levelsAnswer: c) Liver function tests
23. What is the primary reason for evaluating a patient’s medication history during pre-operative assessment?
    a) To adjust the type of anesthesia
    b) To identify potential drug interactions and adjust medications if necessary
    c) To determine the duration of surgery
    d) To assess the need for additional surgical proceduresAnswer: b) To identify potential drug interactions and adjust medications if necessary
24. Which of the following is a key aspect of assessing a patient’s psychological status before surgery?
    a) Patient’s financial status
    b) Patient’s understanding of the procedure and anxiety levels
    c) Patient’s previous surgical outcomes
    d) Patient’s support systemAnswer: b) Patient’s understanding of the procedure and anxiety levels
25. For patients with a history of bleeding disorders, what should be assessed pre-operatively?
    a) Coagulation profile and platelet count
    b) Liver function tests
    c) Serum glucose levels
    d) Kidney function testsAnswer: a) Coagulation profile and platelet count
26. What is an essential part of pre-operative assessment for elderly patients?
    a) Detailed neurological examination
    b) Assessment of age-related physiological changes and comorbidities
    c) Assessment of mobility only
    d) Evaluation of cognitive functionAnswer: b) Assessment of age-related physiological changes and comorbidities
27. Which of the following is NOT typically included in a pre-operative assessment for an elective procedure?
    a) Patient’s medical history
    b) Patient’s family history of surgical complications
    c) Review of the surgical technique
    d) Review of the patient’s anesthesia historyAnswer: c) Review of the surgical technique
28. What should be done if a patient has significant uncontrolled hypertension before surgery?
    a) Proceed with the surgery as planned
    b) Postpone the surgery until blood pressure is controlled
    c) Increase the dose of anesthetics
    d) Perform additional imaging studiesAnswer: b) Postpone the surgery until blood pressure is controlled
29. In pre-operative assessment, why is it important to assess the patient’s nutritional status?
    a) To estimate the need for blood transfusions
    b) To identify the risk of post-operative wound healing issues
    c) To determine the choice of anesthetic agents
    d) To adjust the surgical techniqueAnswer: b) To identify the risk of post-operative wound healing issues
30. Which of the following pre-operative tests is essential for patients undergoing surgery with potential for high blood loss?
    a) Liver function tests
    b) Complete blood count
    c) Serum electrolytes
    d) Kidney function testsAnswer: b) Complete blood count
31. Why is a pre-operative assessment particularly important for patients with chronic respiratory conditions?
    a) To evaluate the risk of intraoperative respiratory complications
    b) To adjust the type of surgical incision
    c) To determine the length of the surgical procedure
    d) To assess the need for post-operative physical therapyAnswer: a) To evaluate the risk of intraoperative respiratory complications
32. What should be assessed for patients with a history of seizure disorders before surgery?
    a) Current seizure control and potential drug interactions
    b) Presence of cardiac arrhythmias
    c) The type of surgical procedure
    d) The patient’s family history of seizuresAnswer: a) Current seizure control and potential drug interactions
33. Which assessment is crucial for patients with a history of recent weight loss or malnutrition?
    a) Nutritional status and potential impact on healing
    b) Renal function tests
    c) Serum glucose levels
    d) Coagulation profileAnswer: a) Nutritional status and potential impact on healing
34. What is the main purpose of assessing the patient’s support system before surgery?
    a) To plan the surgical approach
    b) To ensure there is adequate support for the patient’s recovery
    c) To determine the type of anesthesia required
    d) To assess the patient’s financial statusAnswer: b) To ensure there is adequate support for the patient’s recovery
35. Which of the following is an important consideration for pre-operative assessment in pregnant patients?
    a) Impact of anesthesia on fetal development
    b) Type of surgical incision
    c) The patient’s history of smoking
    d) Renal functionAnswer: a) Impact of anesthesia on fetal development
36. What is a key focus of pre-operative assessment for patients with autoimmune disorders?
    a) Current disease activity and its impact on anesthesia
    b) Patient’s financial situation
    c) Type of surgical instruments needed
    d) The patient’s family history of autoimmune diseasesAnswer: a) Current disease activity and its impact on anesthesia
37. Which pre-operative assessment is particularly important for patients with a history of obstructive sleep apnea?
    a) Risk of airway obstruction during anesthesia
    b) Serum electrolytes
    c) Coagulation profile
    d) Liver function testsAnswer: a) Risk of airway obstruction during anesthesia
38. In pre-operative assessment, why is it important to document the patient’s history of previous surgeries?
    a) To determine the type of anesthesia to be used
    b) To identify any complications or reactions to anesthesia
    c) To plan the length of the surgical procedure
    d) To choose the appropriate surgical teamAnswer: b) To identify any complications or reactions to anesthesia
39. What is a key consideration when assessing a patient’s medication use before surgery?
    a) Potential drug interactions and the need for medication adjustments
    b) The total number of medications
    c) The patient’s compliance with medication instructions
    d) The cost of medicationsAnswer: a) Potential drug interactions and the need for medication adjustments
40. Why is it important to assess a patient’s psychological readiness for surgery?
    a) To estimate the patient’s ability to tolerate anesthesia
    b) To address any anxiety or stress that could affect recovery
    c) To determine the type of anesthesia required
    d) To plan the length of the surgical procedureAnswer: b) To address any anxiety or stress that could affect recovery
41. What is an essential aspect of pre-operative assessment for patients with a history of chronic pain?
    a) Current pain management regimen and potential interactions with anesthesia
    b) Frequency of pain episodes
    c) Previous pain medication use
    d) Type of pain experiencedAnswer: a) Current pain management regimen and potential interactions with anesthesia
42. For patients with a history of gastrointestinal disorders, what should be assessed before surgery?
    a) Potential impact of anesthesia on gastrointestinal function
    b) History of surgical procedures
    c) The patient’s dietary preferences
    d) Previous episodes of nauseaAnswer: a) Potential impact of anesthesia on gastrointestinal function
43. Which pre-operative assessment is crucial for patients with a history of drug or alcohol abuse?
    a) Assessment of withdrawal symptoms and potential impact on anesthesia
    b) The frequency of drug use
    c) The type of substances used
    d) The patient’s previous treatment for addictionAnswer: a) Assessment of withdrawal symptoms and potential impact on anesthesia
44. What is the primary purpose of pre-operative assessment for patients with psychiatric conditions?
    a) To ensure the patient’s mental health is stable for surgery
    b) To determine the type of anesthesia to be used
    c) To plan post-operative psychological support
    d) To adjust the surgical procedureAnswer: a) To ensure the patient’s mental health is stable for surgery
45. Which of the following is an important aspect of pre-operative assessment for patients undergoing elective surgery?
    a) Detailed assessment of the patient’s surgical history
    b) The choice of surgical instruments
    c) The surgeon’s availability
    d) The cost of the surgeryAnswer: a) Detailed assessment of the patient’s surgical history
46. What is a key focus when assessing the pre-operative status of a patient with a history of autoimmune disorders?
    a) Potential impact of disease activity on anesthesia and surgery
    b) The type of autoimmune disorder
    c) Previous treatment regimens
    d) Family history of autoimmune disordersAnswer: a) Potential impact of disease activity on anesthesia and surgery
47. Why is it important to assess a patient’s mobility and functional status before surgery?
    a) To predict potential challenges with post-operative recovery and rehabilitation
    b) To determine the choice of surgical technique
    c) To plan the type of anesthesia
    d) To estimate the length of the surgical procedureAnswer: a) To predict potential challenges with post-operative recovery and rehabilitation
48. What should be assessed regarding a patient’s immunization status before elective surgery?
    a) Adequate immunization to prevent infection post-surgery
    b) The type of surgical procedure
    c) The patient’s history of previous surgeries
    d) The presence of allergiesAnswer: a) Adequate immunization to prevent infection post-surgery
49. What is an essential part of pre-operative assessment for patients undergoing high-risk surgeries?
    a) Detailed risk stratification and optimization of medical conditions
    b) The type of surgical instruments required
    c) The surgeon’s preferences
    d) The length of the surgical procedureAnswer: a) Detailed risk stratification and optimization of medical conditions
50. Which of the following is crucial for pre-operative assessment in patients with a history of frequent infections?
    a) Assessment of the current infection status and potential impact on surgery
    b) The frequency of previous infections
    c) The types of infections experienced
    d) Previous treatments for infectionsAnswer: a) Assessment of the current infection status and potential impact on surgery

Topic-wise Anesthesia MCQs

1. Anesthesiology MCQs
2. Anesthesia Basics:
   • Levels of sedation and anesthesia MCQs
   • Stages of anesthesia MCQs
3. Anesthesia Agents MCQs:
   • Inhaled anesthetics MCQs
   • Intravenous anesthetics MCQs
   • Neuromuscular blocking agents MCQs
   • Local anesthetics MCQs
4. Airway Management:
   • Endotracheal intubation MCQs – Anesthesia
   • Supraglottic airway devices MCQs – Anesthesia
   • Video laryngoscopy MCQs – Anesthesia
   • Difficult airway management MCQs – Anesthesia
5. Anesthesia Monitoring MCQs – Anesthesia:
   • Hemodynamic monitoring MCQs – Anesthesia
   • Pulse oximetry MCQs – Anesthesia
   • Capnography MCQs – Anesthesia
   • Temperature monitoring MCQs – Anesthesia
6. Regional Anesthesia MCQs :
   • Epidural anesthesia MCQs
   • Spinal anesthesia MCQs
   • Peripheral nerve blocks MCQs
7. Patient Assessment and Optimization:
   • Pre-operative assessment MCQs – Anesthesia
   • Patient history and physical examination MCQs – Anesthesia
   • Risk assessment and optimization MCQs – Anesthesia
8. Anesthesia Delivery Systems MCQs:
   • Inhalation anesthesia machines MCQs – Anesthesia
   • Intravenous anesthesia techniques MCQs – Anesthesia
9. Pediatric Anesthesia MCQs :
   • Considerations for anesthesia in pediatric patients MCQs – Anesthesia
   • Pediatric airway management MCQs – Anesthesia
   • Pediatric drug dosages MCQs – Anesthesia
10. Obstetric Anesthesia MCQs – Anesthesia:
    • Anesthesia for labor and delivery MCQs
    • Epidural analgesia in obstetrics MCQs – Anesthesia
    • Anesthetic considerations for cesarean section
11. Anesthesia Complications and Emergencies MCQs:
    • Malignant hyperthermia MCQs – Anesthesia
    • Anaphylaxis MCQs – Anesthesia
    • Cardiac arrest during anesthesia MCQs – Anesthesia
12. Post-Anesthesia Care MCQs:
    • Recovery room management MCQs – Anesthesia
    • Pain management strategies MCQs – Anesthesia
    • Post-operative complications related to anesthesia MCQs
13. Geriatric Anesthesia:
    • Considerations for anesthesia in elderly patients MCQs – Anesthesia
    • Geriatric pharmacology MCQs – Anesthesia
    • Management of common comorbidities MCQs – Anesthesia
14. Ethics and Professionalism in Anesthesia MCQs:
    • Informed consent MCQs – Anesthesia
    • Patient autonomy MCQs – Anesthesia
    • Professional conduct and communication MCQs – Anesthesia
15. Simulation and Skills Training MCQs :
    • Hands-on training in airway management and procedures MCQs – Anesthesia
    • Simulation exercises for crisis management MCQs – Anesthesia