UKMLA Applied Knowledge Test (MSRA-style single best answer) · Acute and Perioperative Care

Perioperative care

12 practice questions, each with the answer and an explanation.

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Random questions from this topic, one at a time. You see the answer and the explanation straight after each one.

All 12 questions

  1. A fit patient with no systemic disease, a non-smoker, is having an elective hernia repair. What is the ASA physical status grade?
  2. Why are SGLT2 inhibitors withheld before elective surgery in patients with diabetes?
  3. A patient on warfarin for atrial fibrillation needs elective major surgery. What is the usual plan?
  4. Which post-operative complication most often causes a fever on the first post-operative day?
  5. A woman is drowsy with a sodium of 121 mmol/L on the second day after a hysterectomy having received large volumes of 5 percent dextrose. What is the most likely mechanism?
  6. During general anaesthesia a patient develops rapidly rising temperature, muscle rigidity and a rising end-tidal carbon dioxide after suxamethonium. Which drug is specific treatment?
  7. A patient with peripheral arterial disease needs thromboprophylaxis for major elective surgery. Which method is contraindicated?
  8. According to NICE hip fracture guidance, within what time should surgery be offered to most patients?
  9. On the third post-operative day a patient has abdominal distension, vomiting and absent bowel sounds without abdominal pain, with low potassium. What is the most likely diagnosis and initial managemen…
  10. A patient develops perioral tingling, metallic taste, then a seizure and arrhythmia shortly after a regional nerve block. Which treatment is specific?
  11. Which statement about fasting before elective general anaesthesia is consistent with current UK practice?
  12. A woman taking prednisolone long term for polymyalgia rheumatica is having major surgery. What is the correct consideration?

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