When preparing a patient for a physical examination the medical assistant is responsible for all of the following except?

Standard Precautions are used for all patient care. They’re based on a risk assessment and make use of common sense practices and personal protective equipment use that protect healthcare providers from infection and prevent the spread of infection from patient to patient.

1. Roizen MF, Foss JF, Fischer SP. Preoperative evaluation. In: Miller RD, editor. Anesthesia. 5th Edition. Philadelphia: Churchill-Livingstone; 2000. pp. 824–883. [Google Scholar]

2. Pedersen T, Eliasen K, Henriksen E. A prospective study of mortality associated with anesthesia and surgery: Risk indicators of mortality in hospital. Acta Anaesthesiol Scand. 1990;34:176. [PubMed] [Google Scholar]

3. Kitts JB. The preoperative assessment; who is responsible? Can J Anesth. 1997;44:1232, 1236. [PubMed] [Google Scholar]

4. Roizen MF. Anesthetic implications of concurrent diseases. In: Miller RD, editor. Anesthesia. 5th Edition. Philadelphia: Churchill-Livingstone; 2000. pp. 903–1015. [Google Scholar]

5. Conway JB, Goldberg J, Chung F. Preadmission anesthesia consultation clinic. Can J Anesth. 1992;39:1051–1057. [PubMed] [Google Scholar]

6. American Society of Anesthesiologists Task Force on Preanesthesia Evaluation Practice Advisory for Preanesthesia Evaluation. Anesthesiology. 2002;96:485–496. [PubMed] [Google Scholar]

7. Roizen MF. Preoperative laboratory testing: What is needed? 54th ASA Annual Refresher Course Lectures. 2003:146. [Google Scholar]

8. Halaszynski TM, Juda R, Silverman DG. Optimizing postoperative outcomes with efficient preoperative assessment and management. Crit Care Med. 2004;32:S80. [PubMed] [Google Scholar]

9. Rabkin SW, Horne JM. Preoperative Electrocardiography: effect of new abnormalities on clinical decisions. Can Med Asso J. 1983;128:146. [PMC free article] [PubMed] [Google Scholar]

10. Klock PA. Drug interactions for the anesthesiologist. 55th ASA Annual Refresher Course Lectures. 2004:147. [Google Scholar]

11. Leak JA. The potential hazards of perioperative herb and dietary supplement use. 55th ASA Annual Refresher Course Lectures. 2004:146. [Google Scholar]

12. Adusumilli PS, Ben-Porat L, Pereira M, et al. The prevalence and predictors of herbal medicine use in surgical patients. J Am Coll Surg. 2004;198:583–590. [PubMed] [Google Scholar]

13. Crowe S, Lyons B. Herbal medicine use by children presenting for ambulatory anesthesia and surgery. Paediatr Anaesth. 2004;14:916–919. [PubMed] [Google Scholar]

14. Kearon C, Hirsh J. Management of anticoagulation before and after surgery. N Engl J Med. 1997;336:1506–1511. [PubMed] [Google Scholar]

15. Fleisher LA. Risk of anesthesia. In: Miller RD, editor. Anesthesia. 5th Edition. Philadelphia: Churchill-Livingstone; 2000. pp. 795–823. [Google Scholar]

16. Cohen MM, Duncan PG, Tate RB. Does anesthesia contribute to operative mortality? JAMA. 1988;260:2859. [PubMed] [Google Scholar]

17. Khuri SF, Daley J, Henderson W, et al. The National Veterans Administration Surgical Risk Study: risk adjustment for the comparative assessment of the quality of surgical care. J Am Coll Surg. 1995;180:519–531. [PubMed] [Google Scholar]

18. Klotz HP, Candinas D, Platz A, et al. Preoperative risk assessment in elective general surgery. Br J Surg. 1996;83:1788–1791. [PubMed] [Google Scholar]

19. Eagle KA, Berger PB, Calkins H, et al. ACC/AHA Guideline Update for Perioperative Cardiovascular Evaluation for Noncardiac Surgery—Executive Summary. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Update the 1996 Guidelines on Perioperative Cardiovascular Evaluation for Noncardiac Surgery) Anesth Analg. 2002;94:1052–1064. [PubMed] [Google Scholar]

20. Chassot, PG, Delabays A, Spahn DR. Preoperative evaluation of patients with, or at risk of, coronary artery disease undergoing non-cardiac surgery. Br J Anaesth. 2002;89:747–759. [PubMed] [Google Scholar]

21. Ashton CM, Petersen NJ, Wray NP, et al. The incidence of perioperative myocardial infarction in men undergoing noncardiac surgery. Ann Intern Med. 1993;118:504–510. [PubMed] [Google Scholar]

22. Mangano DT, Goldman L. Preoperative assessment of patients with known or suspected coronary disease. New Engl J Med. 1995;333:1750–1756. [PubMed] [Google Scholar]

23. Lawrence VA, Dhanda R, Hilsenbeck SG, et al. Risk of pulmonary complications after elective abdominal surgery. Chest. 1996;110:774–750. [PubMed] [Google Scholar]

24. Smetana GW. Current concepts: preoperative pulmonary evaluation. N Engl J Med. 1999;340:937–944. [PubMed] [Google Scholar]

25. Mohr DN, Lavender RC. Preoperative pulmonary evaluation: identifying patients at increased risk for complications. Postgrad Med. 1996;100:241–256. [PubMed] [Google Scholar]

26. Warner MA, Offord KP, Warner ME, et al. Role of preoperative cessation of smoking and other factors in postoperative pulmonary complications: a blinded prospective study of coronary artery bypass patients. Mayo Clin Proc. 1989;64:609–616. [PubMed] [Google Scholar]

27. Warner DO, Warner MA, Barnes RD, et al. Perioperative respiratory complications in patients with asthma. Anesthesiology. 1996;85:460–467. [PubMed] [Google Scholar]

28. Kabalin CS, Yarnold PR, Grammer LC. Low complication rate of corticosteroid-treated asthmatics undergoing surgical procedures. Arch Intern Med. 1995;155:1379–1384. [PubMed] [Google Scholar]

29. Nomori H. Preoperative respiratory muscle training: assessment in thoracic surgery patients with special reference to postoperative pulmonary complications. Chest. 1994;105:1782–1788. [PubMed] [Google Scholar]

30. Rock P. Evaluation and perioperative management of the patient with respiratory disease. 53rd ASA Annual Refresher Course Lectures. 2002:253. [Google Scholar]

31. Rennotte MT, Baele P, Aubert G, Rodenstein DO. Nasal continuous positive airway pressure in the perioperative management of patients with obstructive sleep apnea submitted to surgery. Chest. 1995;107:367–374. [PubMed] [Google Scholar]

32. Coursin DB. Perioperative management of the diabetic patient. 55th ASA Annual Refresher Course Lectures. 2004:210. [Google Scholar]

33. Juul AB, Wetterslev J, Kofoed-Enevoldsen A, et al. The Diabetic Postoperative Mortality and Morbidity (DIPOM) trial: Rationale and design of a multicenter, randomized, placebo-controlled, clinical trial of metoprolol for patients with diabetes mellitus who are undergoing major noncardiac surgery. American Heart Journal. 2004;147:677–683. [PubMed] [Google Scholar]

34. Kearon C, Hirsh J. Perioperative Management of Patients Receiving Oral Anticoagulants. Arch Intern Med. 2003;163:2532–2533. [PubMed] [Google Scholar]

35. Eckman MH. "Bridging On the River Kwai": The Perioperative Management of Anticoagulation Therapy. Med Decis Making. 2005;25:370–373. [PubMed] [Google Scholar]

36. Dunn AS, Wisnivesky J. Perioperative Management of Patients on Oral Anticoagulants: A Decision Analysis. Med Decis Making. 2005;25:387–397. [PubMed] [Google Scholar]

37. Kovacs MJ, Kearon C, Rodger M, et al. Single-arm study of bridging therapy with low-molecular-weight heparin for patients at risk of arterial embolism who require temporary interruption of warfarin. Circulation. 2004;110:1658–1663. [PubMed] [Google Scholar]

38. Rodgers A, Walker N, Schug S, et al. Reduction of postoperative mortality and morbidity with epidural and spinal anesthesia: Results from overview of randomized trials. BMJ. 2000;321:1–12. [PMC free article] [PubMed] [Google Scholar]

39. Broadman LM. Anticoagulation and regional anesthesia. 55th ASA Annual Refresher Course Lectures. 2004:248. [Google Scholar]

40. Horlocker TT, Wedel DJ, Benzon H, et al. Regional anesthesia in the anticoagulated patient: Defining the risks (The Second ASRA Consensus Conference on Neuraxial Anesthesia and Anticoagulation) Reg Anes and Pain Med. 2003;28:172–197. [PubMed] [Google Scholar]

Page 2

Indications for specific preoperative tests