46 - 50 Pharmacology SBAs for the Primary FRCA

46 - 50 Pharmacology SBAs for the Primary FRCA
Photo by Nguyen Dang Hoang Nhu / Unsplash


Question 46

You have calculated the APFEL score for your patient and are deciding on anti-emetics.

Which of the following is not a risk factor for post operative nausea and vomiting?

  • Strabismus surgery in children
  • Nitrous oxide use
  • Intra-operative opioid use
  • Smoking
  • Female gender

Answer

  • Smoking

Smoking doesn't protect you against much, but it seems to reduce the incidence of PONV.

The components of the APFEL score are:

  • Female gender
  • Non smoker
  • Motion sickness
  • Post-op opioid use

0 = 10%, 2 = 20%, 3 = 60%, 4 = 80%

Here's our post on PONV and antiemetics