ABCS ABCS Anesthesia and Perioperative Care 2

Question 1

Which class of medications should typically be held before elective cosmetic surgery due to increased bleeding risk?

Accepted Answer

Anticoagulants and NSAIDs

Answer

Anticoagulants and NSAIDs inhibit platelet function or clotting cascades and must generally be stopped before elective procedures to minimize intraoperative bleeding.

Question 2

What is the purpose of a 'time-out' procedure immediately before beginning a cosmetic surgery in the US?

Accepted Answer

To verify patient identity, procedure, and site to prevent wrong-site surgery

Answer

A surgical time-out is a standardized safety pause where the entire team confirms the correct patient, procedure, and surgical site before the first incision.

Question 3

A cosmetic surgery patient develops laryngospasm during emergence from general anesthesia. What is the immediate intervention?

Accepted Answer

Apply positive pressure ventilation with 100% oxygen

Answer

Laryngospasm is managed immediately with positive-pressure oxygen ventilation, and succinylcholine may be given if it does not resolve, to break the spasm and restore the airway.

Question 4

Which type of anesthesia is most appropriate for an abdominoplasty (tummy tuck) performed in a US accredited outpatient surgical facility?

Accepted Answer

General anesthesia or deep sedation with local anesthesia

Answer

Abdominoplasty requires adequate muscle relaxation and pain control, making general anesthesia or deep sedation combined with local infiltration the standard approach.

Question 5

What is the significance of the Mallampati classification in preoperative anesthesia assessment for cosmetic surgery?

Accepted Answer

It predicts difficulty of endotracheal intubation based on oral cavity visibility

Answer

The Mallampati score classifies the visibility of oral structures to estimate potential difficulty in securing the airway during intubation.

(ABCS) American Board of Cosmetic Surgery Certification Practice Test

(ABCS) American Board of Cosmetic Surgery Certification Practice Test

ABCS ABCS Anesthesia and Perioperative Care 2