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Anaesthesia · Preoperative assessment: functional capacity
Sample itemA patient reports they can climb two flights of stairs without chest pain or undue breathlessness. This history most directly provides an estimate of what?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Functional capacity in metabolic equivalents
Ability to perform activities such as stair climbing gives a practical estimate of functional capacity, often expressed in metabolic equivalents. It helps contextualize perioperative cardiovascular risk alongside the planned operation and comorbidities.
Option by option
A. Difficult mask ventilation
Airway difficulty is assessed using airway anatomy and previous airway history.
B. Gastric emptying
Gastric emptying risk is assessed from fasting, obstruction, diabetes, and other aspiration factors.
C. Functional capacity in metabolic equivalents (correct)
Correct. Stair-climbing ability is a common functional-capacity screen.
D. Coagulation status
Coagulation status is assessed from history, examination, and selected testing.
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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