A 65-year-old man with hypertension and chronic kidney disease is evaluated preoperatively for elective hip replacement. Functional capacity is less t...

Question

A 65-year-old man with hypertension and chronic kidney disease is evaluated preoperatively for elective hip replacement. Functional capacity is less than 4 METs, with elevated surgical risk and no active cardiac conditions. What is the next step?

Accepted Answer

Noninvasive stress testing if results will change management

Answer

Cancel surgery

Answer

Routine coronary angiography

Answer

Start high-dose beta-blocker on the day of surgery

Answer

No further evaluation regardless of risk

us-abim MCQ (SBA): Preoperative Evaluation

A 65-year-old man with hypertension and chronic kidney disease is evaluated preoperatively for elective hip replacement. Functional capacity is less than 4 METs, with elevated surgical risk and no active cardiac conditions. What is the next step?