PAEA Surgery End Of Rotation (EOR) Practice Exam

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Prepare for the PAEA Surgery End Of Rotation Exam. Enhance your learning with expertly curated questions and detailed explanations to excel in your surgical rotation assessment. Start today!

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If a patient has a Child-Turcotte-Pugh Class B score, what percentage chance does this pose for surgical complications?

10-20%
20-30%
30-40%
40-50%

The correct answer is: 20-30%

A Child-Turcotte-Pugh Class B score indicates moderate liver dysfunction, which is critical to evaluate before any surgical procedures. The scoring system classifies liver disease based on five clinical measures: total bilirubin, serum albumin, INR (international normalized ratio), ascites, and hepatic encephalopathy. In patients categorized as Class B, studies show an increased risk of postoperative complications. The percentage of complications typically observed in this group generally falls within the 20-30% range. This statistic signifies that while patients in this category retain a moderate risk level, they maintain better prognoses than those classified as Class C, who face significantly higher complication rates. Understanding this risk aids in managing surgical expectations and planning appropriate perioperative care for patients with hepatic impairment. Consequently, recognizing the implications of a Child-Turcotte-Pugh Class B classification is essential for surgical decision-making and patient safety.