Question

A 64-year-old woman with obesity, OSA, and hypertension presents for pre-op risk assessment for elective cholecystectomy. She has 3 METs and dyspnea on exertion. Best next step?

Accepted Answer

Use RCRI/NSQIP; consider pharmacologic stress imaging if results change management

Answer

Proceed without testing

Answer

Order BNP only

Answer

Coronary angiography routinely

Answer

Start high-dose beta-blocker on day of surgery

Practice question

A 64-year-old woman with obesity, OSA, and hypertension presents for pre-op risk assessment for elective cholecystectomy. She has 3 METs and dyspnea on exertion. Best next step?