Preoperative assessment: 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: cardiac risk index

Sample item

Which of the following is NOT an independent predictor in the Revised Cardiac Risk Index?

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

The answer and the reasoning

D. Age above 70 years

The RCRI has six predictors: high-risk surgery, ischaemic heart disease, congestive heart failure, cerebrovascular disease, insulin-treated diabetes and creatinine above 2 mg/dL. Age is not part of the original index.

Option by option

  • A. Serum creatinine above 2 mg/dL

    Creatinine above 2 mg/dL is a predictor.

  • B. History of cerebrovascular disease

    Cerebrovascular disease is a predictor.

  • C. Insulin-treated diabetes mellitus

    Insulin-treated diabetes is a predictor.

  • D. Age above 70 years (correct)

    Correct. Age is not an RCRI component.

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 D, Age above 70 years. The RCRI has six predictors: high-risk surgery, ischaemic heart disease, congestive heart failure, cerebrovascular disease, insulin-treated diabetes and creatinine above 2 mg/dL.

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

Creatinine above 2 mg/dL is a predictor.

Why is "History of cerebrovascular disease" not the answer?

Cerebrovascular disease is a predictor.

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

Insulin-treated diabetes is a predictor.

What concept does this question test?

It tests Preoperative assessment: cardiac risk index in Anaesthesia. Age is not part of the original index.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. 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: 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.