American Board of Surgery Qualifying Exam (ABS QE) Practice Test

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What is the significance of albumin levels below 3.0 g/dL?

It indicates excellent nutrition status
It is a risk factor for increased morbidity and mortality
It shows no relevance to surgery outcome
It indicates hydration status

The correct answer is: It is a risk factor for increased morbidity and mortality

Albumin levels below 3.0 g/dL are significant because they are associated with a higher risk of morbidity and mortality, especially in surgical patients. Albumin is a key protein produced by the liver, and its levels can reflect a patient's nutritional status, inflammation, and overall health. Low albumin levels can occur due to malnutrition, chronic illness, or inflammatory processes, indicating that the patient's physiological reserve may be diminished. In surgical contexts, low albumin can lead to poor wound healing, increased susceptibility to infections, and complications related to fluid shifts. These factors contribute to increased risk during and after surgery. Thus, monitoring and addressing hypoalbuminemia is crucial in optimizing surgical outcomes and improving patient care.