POCD Risk Population — FRCA Final MCQ

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

ModeratePerioperative MedicinePOCD Risk PopulationFRCA Final

Postoperative cognitive dysfunction (POCD) is most common in which patient population?

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

Reveal the answer and explanation

Correct answer: A — Elderly patients after major surgery

POCD most common in elderly (>65) after major surgery. Risk factors: advanced age, pre-existing cognitive impairment, major surgery, prolonged anaesthesia, postoperative delirium, infection, and metabolic derangement. Prevention: multimodal non-opioid analgesia, minimise anticholinergics, avoid deep anaesthesia (BIS <45), early mobilisation, sleep hygiene.

Reference: BJA Education – 2023 – Postoperative cognitive dysfunction in the elderly