USMLE Forum Archives - USMLE Step 3 - preventive medicine 4
preventive medicine 4
bingousmle - 04-10-10 01:09 Bookmark and Share

You are concerned about the cardiac risks of several of your patients undergoing surgical procedures, and are considering further cardiac testing in the preoperative period. Which of the following surgical procedures is considered to have a low surgery-specific risk, and generally does not require additional preoperative cardiac testing, if the patient does not have clinical predictors of increased cardiac risk?
a. Femoral-popliteal bypass
b. Breast surgery
c. Thyroidectomy
d. Knee replacement
e. Carotid endarterectomy






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#1
Re: preventive medicine 4
conym5 - 04-10-10 09:46

My answer is: a.


hmmmm. difficult questionn..but still lll try..Femoral-popliteal bypass i guess..
Carotid endarterectomy , Breast surgery, Knee replacement are high risk

#2
Re: preventive medicine 4
bingousmle - 06-18-10 08:05

My answer is: d.


Low risk procedureshave a risk of cardiac death less than 1% and generally do not require additional cardiac preoperative testing. They include endoscopic procedures, superficial procedures, cataract surgeries, and breast surgery

#3
Re: preventive medicine 4
thelaststep - 06-18-10 08:39

My answer is: b.

#4
Re: preventive medicine 4
babbu5508 - 06-18-10 14:40

My answer is: d.


i think among the above additional preoperative cardiac testing is not needed for knee replacement, if the patient does not increased cardiac risk..others are major ones

#5
Re: preventive medicine 4
1811166 - 07-20-10 02:25

My answer is: b.

#6
Re: preventive medicine 4
robin4u - 07-20-10 14:03

My answer is: d.

#7
Re: preventive medicine 4
abuzic - 07-23-10 05:27

My answer is: b.


The procedure has a low cardiac risk, the others have moderate or high cardiac risk

#8
Re: preventive medicine 4
dmg5657 - 07-23-10 06:28

My answer is: d.

#9
Re: preventive medicine 4
bmnnbm - 08-02-10 10:55

My answer is: b.

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