Preoperative assessment: high-risk surgery in the cardiac risk index: practice question

A Anaesthesia question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Anaesthesia · Preoperative assessment: high-risk surgery in the cardiac risk index

Sample item

In the Revised Cardiac Risk Index, which operation counts as high-risk surgery?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

C. Open colectomy for carcinoma

The Revised Cardiac Risk Index defines high-risk surgery as intraperitoneal, intrathoracic or suprainguinal vascular surgery. Superficial and peripheral operations do not score a point.

Option by option

  • A. Cataract extraction

    Cataract surgery is a superficial, low-risk procedure.

  • B. Carpal tunnel release

    Hand surgery is a low-risk peripheral procedure.

  • C. Open colectomy for carcinoma (correct)

    Correct. An open intraperitoneal operation is high-risk surgery in the index.

  • D. Open inguinal hernia repair

    A groin hernia repair is a superficial operation and does not score.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Anaesthesia question

What is the answer to this Anaesthesia question?

The best answer is C, Open colectomy for carcinoma. The Revised Cardiac Risk Index defines high-risk surgery as intraperitoneal, intrathoracic or suprainguinal vascular surgery.

Why is "Cataract extraction" not the answer?

Cataract surgery is a superficial, low-risk procedure.

Why is "Carpal tunnel release" not the answer?

Hand surgery is a low-risk peripheral procedure.

Why is "Open inguinal hernia repair" not the answer?

A groin hernia repair is a superficial operation and does not score.

What concept does this question test?

It tests Preoperative assessment: high-risk surgery in the cardiac risk index in Anaesthesia. Superficial and peripheral operations do not score a point.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Preoperative assessment: high-risk surgery in the cardiac risk index?

Make a table of each agent, its key advantage and its main side effect. Then use the flashcards and the other Anaesthesia questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.