Perioperative care: Revised Cardiac Risk Index: practice question

A General Surgery 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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General Surgery · Perioperative care: Revised Cardiac Risk Index

Sample item

Which of the following is NOT a component of the Revised Cardiac Risk Index for non-cardiac surgery?

AInsulin-treated diabetes mellitusBAge above 70 yearsCSerum creatinine above 2 mg/dLDHistory of congestive cardiac failure

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

The answer and the reasoning

B. Age above 70 years

The Revised Cardiac Risk Index scores six factors: high-risk surgery, ischaemic heart disease, congestive heart failure, cerebrovascular disease, insulin-treated diabetes and creatinine above 2 mg/dL. Age is not one of its components, although it appeared in earlier indices.

Option by option

A. Insulin-treated diabetes mellitus
Insulin-treated diabetes mellitus is one of the six factors.
B. Age above 70 years (correct)
Correct. Age is not part of the Revised Cardiac Risk Index.
C. Serum creatinine above 2 mg/dL
A serum creatinine above 2 mg/dL is one of the six factors.
D. History of congestive cardiac failure
A history of congestive cardiac failure is one of the six factors.

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.

Questions about this General Surgery question

What is the answer to this General Surgery question?

The best answer is B, Age above 70 years. The Revised Cardiac Risk Index scores six factors: high-risk surgery, ischaemic heart disease, congestive heart failure, cerebrovascular disease, insulin-treated diabetes and creatinine above 2 mg/dL.

Why is "Insulin-treated diabetes mellitus" not the answer?

Insulin-treated diabetes mellitus is one of the six factors.

Why is "Serum creatinine above 2 mg/dL" not the answer?

A serum creatinine above 2 mg/dL is one of the six factors.

Why is "History of congestive cardiac failure" not the answer?

A history of congestive cardiac failure is one of the six factors.

What concept does this question test?

It tests Perioperative care: Revised Cardiac Risk Index in General Surgery. Age is not one of its components, although it appeared in earlier indices.

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 Perioperative care: Revised Cardiac Risk Index?

Learn classic signs and eponyms alongside what they diagnose. Then use the flashcards and the other General Surgery 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.