skip to main content

Idiopathic Peripheral Neuropathy — RACP Adult Medicine MCQ

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

HardNeurologyIdiopathic Peripheral NeuropathyRACP Adult Medicine

A 67-year-old with stable coronary disease can climb two flights of stairs without symptoms and is scheduled for time-sensitive colon cancer surgery. ECG is unchanged and there is no decompensated cardiac condition. What is the best preoperative cardiac strategy?

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

Reveal the answer and explanation

Correct answer: C — Proceed with guideline-directed medical therapy without routine ischaemia testing

Explanation lettering: E = shown as B · D = shown as C · C = shown as D · B = shown as E

D is correct. Good functional capacity, stable symptoms and no active cardiac condition mean routine ischaemia testing is unlikely to change management; proceed with medical optimisation. A and E over-test. B uses test age rather than clinical change and decision impact. C revascularisation is undertaken for usual cardiac indications, not solely to facilitate non-cardiac surgery.

Reference: ANZCA, Standards of practice for perioperative medicine: https://www.anzca.edu.au/chapter-of-perioperative-medicine/standards-of-practice-for-perioperative-medicine