Risk Assessment & Management Flashcards
7 cards from real ABCS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Risk Assessment & Management flashcards as text
A patient scheduled for liposuction under tumescent anesthesia receives a lidocaine dose of 55 mg/kg. What is the primary risk?
Answer: Systemic lidocaine toxicity with CNS and cardiac manifestations
The safe tumescent lidocaine dose is generally ≤55 mg/kg; exceeding recommended limits risks systemic toxicity manifesting as seizures, arrhythmias, and cardiovascular collapse.
Which intraoperative strategy best reduces the risk of fat embolism syndrome during large-volume liposuction?
Answer: Limiting total aspirate volume and avoiding simultaneous procedures in multiple body areas
Limiting aspirate volume and avoiding simultaneous multilocation procedures reduces fat embolism risk and hemodynamic stress.
When a patient reports a family history of pseudocholinesterase deficiency, the anesthesiologist should avoid which agent?
Answer: Succinylcholine
Succinylcholine is metabolized by pseudocholinesterase; deficiency prolongs neuromuscular blockade and can cause extended apnea.
Which preoperative psychological finding most increases the risk of poor patient satisfaction after cosmetic surgery?
Answer: Body dysmorphic disorder (BDD)
Patients with BDD have distorted body perception and rarely achieve satisfaction regardless of surgical outcome, making it an important contraindication to cosmetic surgery.
A patient with obstructive sleep apnea (OSA) is scheduled for rhinoplasty under general anesthesia. Which perioperative precaution is most critical?
Answer: Plan for potential difficult airway and ensure postoperative monitoring for respiratory events
OSA patients have increased risk for airway obstruction and respiratory depression; airway planning and appropriate postoperative monitoring are mandatory.
An office-based surgical suite must have which of the following to meet ABCS risk management standards?
Answer: A transfer agreement with a nearby accredited hospital
Office-based facilities performing procedures under general anesthesia must have a documented transfer agreement with an accredited hospital to manage complications requiring higher-level care.
Which condition represents a relative contraindication to elective outpatient cosmetic surgery under general anesthesia?
Answer: Recent (within 6 months) myocardial infarction
Recent myocardial infarction dramatically increases perioperative cardiac risk; elective surgery should generally be deferred at least 6 months and ideally longer.