skip to main content

NICE NG45 Pre-Op Tests — FRCA Final MCQ

Instant feedback + full explanation. One question, done properly.

EasyPreoperative AssessmentNICE NG45 Pre-Op TestsFRCA Final

A 45-year-old man (ASA II, 75 kg) is scheduled for an elective laparoscopic fundoplication. His BMI is 28. He had uneventful anaesthetics previously. According to NICE NG45, which routine pre-operative tests are recommended for this ASA II patient undergoing intermediate surgery?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: C — Full blood count and ECG

For an ASA II patient undergoing intermediate (grade 2) surgery, NICE NG45 recommends: FBC (if cardiovascular, renal, or liver disease) and ECG (if cardiovascular or renal disease or diabetes). For an ASA II patient without these specific comorbidities, no routine tests are needed. The key principle is that tests should only be ordered when they will change management. Routine CXR, coagulation screen, and U&E are not recommended for ASA I-II patients undergoing intermediate surgery without specific indications.

Reference: NICE – 2016 – NG45 Routine preoperative tests for elective surgery