TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
Chapter 20: Presurgical Clearance Buttaro: Primary Care: A Collaborative Practice, 6th Edition MULTIPLE CHOICE 1. Which patient should have pulmonary function testing as part of the presurgical exam? a. A patient older than 60 years of age b. A patient undergoing major intrathoracic surgery c. A patient with a history of pneumonia in the last 2 years d. A patient with diabetes and morbid obesity ANS: B
Any patient undergoing major thoracic surgery should have pulmonary function testing. Age over 60 years, a history of pneumonia, and diabetes and obesity do not require pulmonary function testing unless there is comorbid COPD. MULTIPLE RESPONSE 1. Which factors determine which diagnostic tests should be performed in a presurgical
clearance evaluation? (Select all that apply.) a. Patient’s age b. Patient’s comorbidities c. Previous surgeries d. Surgeon’s preference e. Type of anesthetic agent planned
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ANS: A, B, D, E
The patient’s age and comorbidities, surgeon preference, and the type of anesthetic planned all determine which presurgical diagnostic tests will be performed. The patient’s previous surgeries do not determine presurgical testing.
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