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Preoperative Risk Assessment

You'll be able to stratify a surgical patient's cardiac and pulmonary risk and decide what workup, if any, is actually needed before clearance.

What this track covers

This track covers preoperative evaluation for adults undergoing surgery, including cardiovascular and pulmonary risk stratification, targeted lab and coagulation assessment, and perioperative medication management. It emphasizes matching testing and clearance decisions to the patient's risk profile and the planned procedure, including special considerations for diabetic, renal, hepatic, and elderly patients.

What you will practice

  • Apply a validated cardiac risk index to a preoperative patient
  • Decide when functional capacity assessment substitutes for cardiac testing
  • Interpret pulmonary function tests in the context of surgical risk
  • Plan perioperative anticoagulation bridging and medication adjustments
  • Draft a clearance note that communicates risk and shared decision-making

Simulator scenario

A simulator case with an older adult who has multiple comorbidities presenting for elective surgery, requiring the clinician to gather history, weigh risk factors, and decide on further workup or clearance.

Board question topics

  • Cardiac risk index scoring
  • Pulmonary risk stratification
  • Perioperative anticoagulation bridging
  • Preoperative testing in special populations

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