The Preoperative Assessment: Step 1 in Effective Care Transitions – Post Test

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Question 1 of 5

1. Question
1. Falls risk assessment is one area of need for the preoperative patient. Which tool below can be delivered telephonically to assess such in older adults?
- a) Deprescribe.org’s Falls Risk Survey
- b) Sweet 16 Screen
- c) STOPP and START screens
- d) The STEADI screening tool
Question 2 of 5

2. Question
2. Situations that may lead to negative postoperative outcomes include (select ALL that apply)
- a) Having a Sweet 16 score < 14 showing decreased cognition
- b) Scoring on the PHQ 9 that indicates significant depression that is untreated
- c) A patient who smokes 1 ppd who has cut back to ½ ppd over the past week
- d) A patient who does not use mobility devices who takes 22 seconds to walk 10 feet (thus failing the Timed Up and Go (TUG) test)
Question 3 of 5

3. Question
3. Which is true for the Clinical Frailty Scale (CFS)
- a) It is set up as a tool to be used by ancillary clinical staff to assess frailty
- b) Lower scores mean higher risk of post-operative issues arising
- c) There is a CPT code for CFS that is co-insurance waived for us to use in billing
- d) It can be used in young and old patients equally well
Question 4 of 5

4. Question
4. True statements for Cardiac and Pulmonary preoperative risk assessment include (choose ALL that apply)
- a) Being able to walk about 2 blocks, go up a flight of steps, or move furniture is an indicator of a MET of 4, and would indicate further cardiac assessment is not needed
- b) Adding a low dose beta blocker to the patient’s regimen one week prior to the operation is appropriate
- c) Spirometry assessments for preoperative clearance are standard of care for all patients
- d) Smoking cessation should occur at a minimum of 4-6 weeks preoperatively and continue postoperatively to aid in wound healing
Question 5 of 5

5. Question
5. Tools of use in appropriate medication use for older adults include
- a) Beers Criteria screening tools
- b) STEADI screens for older adults
- c) START and STOPP screening tools
- d) MMSE screens for geriatric patients

The Preoperative Assessment: Step 1 in Effective Care Transitions – Post Test

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