ABCS ABCS Anesthesia and Perioperative Care 1 — Questions and Answers
Question 1: Which anesthesia type is most commonly used for minor outpatient cosmetic procedures such as lip fillers or Botox injections in a US cosmetic surgery practice?
- Topical or local anesthesia (Correct answer)
- General anesthesia
- Spinal anesthesia
- Epidural anesthesia
Correct answer: Topical or local anesthesia
Topical or local anesthesia is preferred for minor non-surgical cosmetic procedures because it provides adequate pain control with minimal systemic risk.
Question 2: What is the primary goal of a pre-anesthetic evaluation before a cosmetic surgery procedure?
- To identify patient risk factors and optimize safety (Correct answer)
- To document insurance billing codes
- To select the cosmetic implant size
- To schedule the follow-up appointment
Correct answer: To identify patient risk factors and optimize safety
A pre-anesthetic evaluation identifies comorbidities, allergies, and risk factors to ensure the safest anesthesia plan for the patient.
Question 3: Which of the following is a contraindication to administering epinephrine-containing local anesthetics in cosmetic surgery?
- Uncontrolled hypertension or severe cardiovascular disease (Correct answer)
- Patient age over 40
- Prior rhinoplasty
- BMI under 25
Correct answer: Uncontrolled hypertension or severe cardiovascular disease
Epinephrine is a vasoconstrictor that can exacerbate cardiovascular instability in patients with uncontrolled hypertension or severe heart disease.
Question 4: In the ABCS context, what does 'NPO after midnight' mean for a patient scheduled for general anesthesia?
- Nothing by mouth after midnight to reduce aspiration risk (Correct answer)
- No prescription opioids after midnight
- No physical activity after midnight
- No pain medications after midnight
Correct answer: Nothing by mouth after midnight to reduce aspiration risk
NPO (nil per os) after midnight means the patient must not eat or drink to minimize the risk of pulmonary aspiration during anesthesia induction.
Question 5: Which monitoring parameter is considered mandatory throughout all cosmetic surgical procedures performed under general anesthesia in the US?
- Continuous pulse oximetry and capnography (Correct answer)
- Hourly blood glucose checks
- Intraoperative photography
- Urinalysis every 30 minutes
Correct answer: Continuous pulse oximetry and capnography
Continuous pulse oximetry and capnography are required by AAAASF and JCAHO standards to monitor oxygenation and ventilation throughout general anesthesia.
Question 6: What is the recommended recovery position for a post-anesthesia patient who is unconscious or semiconscious after cosmetic surgery?
- Lateral recovery (recovery) position (Correct answer)
- Prone position
- Trendelenburg position
- Sitting upright at 90 degrees
Correct answer: Lateral recovery (recovery) position
The lateral recovery position keeps the airway open and reduces the risk of aspiration if vomiting occurs during emergence from anesthesia.
ABCS ABCS Anesthesia and Perioperative Care 1
Which anesthesia type is most commonly used for minor outpatient cosmetic procedures such as lip fillers or Botox injections in a US cosmetic surgery practice?