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

TIVA with propofol provides smooth induction, rapid emergence, and reduced postoperative nausea and vomiting (PONV), making it ideal for outpatient aesthetic surgery.

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

Tumescent solution (dilute lidocaine + epinephrine in saline) causes vasoconstriction to minimize bleeding, provides local anesthesia, and mechanically separates fat for easier removal.

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

Inadvertent intravascular injection of epinephrine causes rapid systemic absorption, producing tachycardia and initial hypertension followed by reflex hypotension.

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

Multimodal analgesia targets different pain pathways simultaneously, reducing total opioid consumption and associated side effects like respiratory depression and constipation.

Question 5

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

Accepted Answer

Perioral numbness and tinnitus

Answer

Early signs of lidocaine toxicity are CNS-related, including perioral numbness, tinnitus, metallic taste, and light-headedness, preceding more serious cardiac or seizure effects.

(ASPS) American Society of Plastic Surgeons Practice Test

(ASPS) American Society of Plastic Surgeons Practice Test

ASPS ASPS Anesthesia, Pain Management & Perioperative Care