ABSITE EXAM 2025/2026 | SURGICAL PATIENT
MANAGEMENT WITH 100% ACCURATE ANSWERS
1. If a patient with antiphospholipid antibody syndrome is undergoing surgery
and requires anticoagulation, which monitoring strategy would you
implement to ensure effective heparin therapy?
Monitor anti-factor Xa levels to adjust heparin dosage.
Monitor partial thromboplastin time to evaluate heparin
effectiveness.
Monitor prothrombin time to assess coagulation status.
Monitor Russell viper venom time for anticoagulation assessment.
2. Describe how pulmonary function tests, such as FEV1 and DLCO, contribute
to assessing surgical risk in patients.
Pulmonary function tests are only useful for diagnosing lung cancer.
Pulmonary function tests help identify patients at risk for
postoperative complications based on their lung capacity and gas
exchange efficiency.
Pulmonary function tests are irrelevant for surgical risk assessment.
Pulmonary function tests only measure oxygen levels in the blood.
3. What is the recommended action regarding warfarin before surgery if the
INR is between 2.0 and 3.0?
Stop Coumadin 3 days before surgery.
,Stop Coumadin 5 days before surgery.
Decrease Coumadin dose to 1 mg daily 7 days before surgery.
, Decrease Coumadin dose to 1 mg daily 5 days before surgery.
4. A 60-year-old woman with a history of asthma and long-term prednisone
use is scheduled for a laparoscopic cholecystectomy. What would be the
most appropriate perioperative management of her prednisone?
Give prednisone at her usual dose preoperatively.
Wean her off prednisone before the surgery.
Increase her prednisone dose to manage surgical stress.
Delay the surgery until her prednisone can be reduced.
Switch to hydrocortisone for the perioperative period.
5. What is the most common cause of postoperative fever within the first 24
hours after surgery?
Pulmonary atelectasis
Urinary tract infection
Infection at the surgical site
Deep vein thrombosis
6. Why is it important to manage warfarin therapy prior to surgery?
To reduce the risk of excessive bleeding during the surgical
procedure.
To prevent the formation of new blood clots after surgery.
To maintain the patient's INR at a therapeutic level.
To ensure the patient can resume normal activities post-surgery.
MANAGEMENT WITH 100% ACCURATE ANSWERS
1. If a patient with antiphospholipid antibody syndrome is undergoing surgery
and requires anticoagulation, which monitoring strategy would you
implement to ensure effective heparin therapy?
Monitor anti-factor Xa levels to adjust heparin dosage.
Monitor partial thromboplastin time to evaluate heparin
effectiveness.
Monitor prothrombin time to assess coagulation status.
Monitor Russell viper venom time for anticoagulation assessment.
2. Describe how pulmonary function tests, such as FEV1 and DLCO, contribute
to assessing surgical risk in patients.
Pulmonary function tests are only useful for diagnosing lung cancer.
Pulmonary function tests help identify patients at risk for
postoperative complications based on their lung capacity and gas
exchange efficiency.
Pulmonary function tests are irrelevant for surgical risk assessment.
Pulmonary function tests only measure oxygen levels in the blood.
3. What is the recommended action regarding warfarin before surgery if the
INR is between 2.0 and 3.0?
Stop Coumadin 3 days before surgery.
,Stop Coumadin 5 days before surgery.
Decrease Coumadin dose to 1 mg daily 7 days before surgery.
, Decrease Coumadin dose to 1 mg daily 5 days before surgery.
4. A 60-year-old woman with a history of asthma and long-term prednisone
use is scheduled for a laparoscopic cholecystectomy. What would be the
most appropriate perioperative management of her prednisone?
Give prednisone at her usual dose preoperatively.
Wean her off prednisone before the surgery.
Increase her prednisone dose to manage surgical stress.
Delay the surgery until her prednisone can be reduced.
Switch to hydrocortisone for the perioperative period.
5. What is the most common cause of postoperative fever within the first 24
hours after surgery?
Pulmonary atelectasis
Urinary tract infection
Infection at the surgical site
Deep vein thrombosis
6. Why is it important to manage warfarin therapy prior to surgery?
To reduce the risk of excessive bleeding during the surgical
procedure.
To prevent the formation of new blood clots after surgery.
To maintain the patient's INR at a therapeutic level.
To ensure the patient can resume normal activities post-surgery.
