ASPS ASPS Anesthesia, Pain Management & Perioperative Care

Question 1

Which anesthetic technique is most commonly used for outpatient aesthetic procedures to allow rapid recovery?

Accepted Answer

Total intravenous anesthesia (TIVA) with propofol

Answer

General anesthesia with endotracheal intubation

Answer

Spinal anesthesia

Answer

Ketamine-only sedation

Question 2

The tumescent technique in liposuction uses large volumes of dilute solution primarily to:

Accepted Answer

Create hydrostatic tissue separation and local anesthesia while reducing blood loss

Answer

Provide systemic antibiotic prophylaxis

Answer

Increase cardiac output during the procedure

Answer

Prevent deep vein thrombosis

Question 3

A patient undergoing rhinoplasty develops sudden intraoperative hypotension and tachycardia after epinephrine injection. The MOST likely cause is:

Accepted Answer

Intravascular injection of epinephrine

Answer

Anaphylaxis to lidocaine

Answer

Malignant hyperthermia

Answer

Vasovagal episode

Question 4

Which multimodal analgesic approach is recommended to reduce opioid requirements after major reconstructive surgery?

Accepted Answer

Combination of NSAIDs, acetaminophen, regional nerve blocks, and low-dose opioids

Answer

High-dose opioid infusion only

Answer

Benzodiazepine-based sedation alone

Answer

Ketamine infusion without supplemental analgesia

Question 5

Lidocaine toxicity in a tumescent liposuction patient most commonly first presents as:

Accepted Answer

Perioral numbness and tinnitus

Answer

Cardiac arrhythmia

Answer

Seizure

Answer

Respiratory arrest

Question 6

Pre-operative fasting guidelines (NPO) before elective plastic surgery typically require abstaining from solid food for:

Accepted Answer

6–8 hours

Answer

2 hours

Answer

4 hours

Answer

12 hours