Question:medium
A patient is posted for elective inguinal hernia repair. He has a past history of myocardial infarction for which he underwent CABG. What is the appropriate preoperative cardiac assessment?
A patient is posted for elective inguinal hernia repair. He has a past history of myocardial infarction for which he underwent CABG. What is the appropriate preoperative cardiac assessment?
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He had bypass surgery, not a stent, so which functional test tells you how his heart copes under load?
Updated On: Jun 23, 2026
- History + clinical examination + routine labs + angiography to look for stent patency
- History + clinical examination + routine labs
- History + clinical examination + routine labs + stress test
- History + clinical examination + routine labs + V/Q scan
Show Solution
The Correct Option is C
Solution and Explanation
Eliminate by reading each add-on against the patient's history. Option that adds stent-patency angiography assumes he had a coronary stent, but the stem clearly says CABG (grafts, not stents), so that option self-destructs. The option adding a V/Q scan is for suspected pulmonary embolism, an entirely different question, so drop it. 'History, exam and labs only' undersells a known coronary patient going for elective surgery, where you want to know how the heart behaves under demand. That leaves the stress test, which loads the heart and reveals inducible ischaemia and overall cardiac reserve, exactly what perioperative risk stratification needs in a post-CABG patient before an elective hernia repair.
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