CAA CAA Perioperative Patient Care & Assessment 1

Question 1

During the preoperative assessment, which ASA Physical Status classification applies to a patient with well-controlled hypertension and type 2 diabetes with no systemic complications?

Accepted Answer

ASA II

Answer

ASA II applies to patients with mild systemic disease that is well-controlled and causes no functional limitations.

Question 2

A patient scheduled for elective surgery reports taking warfarin daily. What is the most appropriate initial action for the anesthesia team?

Accepted Answer

Check the patient's INR and notify the surgical team

Answer

Checking the INR determines the degree of anticoagulation, which guides bridging therapy decisions made collaboratively with the surgeon.

Question 3

Which preoperative fasting guideline (NPO) is recommended by the ASA for clear liquids in adult patients undergoing elective surgery?

Accepted Answer

2 hours

Answer

ASA guidelines permit clear liquids up to 2 hours before elective procedures to reduce pulmonary aspiration risk while minimizing patient discomfort.

Question 4

When positioning a patient in the lithotomy position, which complication is the anesthesia assistant most vigilant about during prolonged procedures?

Accepted Answer

Compartment syndrome of the lower extremities

Answer

Elevated legs with restricted perfusion during prolonged lithotomy can cause lower extremity compartment syndrome, a limb-threatening emergency.

Question 5

A 68-year-old patient with known GERD is scheduled for a laparoscopic cholecystectomy. Which preoperative medication is commonly given to reduce aspiration risk?

Accepted Answer

Metoclopramide and sodium citrate

Answer

Metoclopramide accelerates gastric emptying and increases lower esophageal sphincter tone, while sodium citrate neutralizes gastric acid to reduce aspiration injury risk.

(CAA) Certified Anesthesia Assistant Practice Test

(CAA) Certified Anesthesia Assistant Practice Test

CAA CAA Perioperative Patient Care & Assessment 1