CANS CHILD AND ADOLESCENT NEEDS
AND STRENGTHS EXAM – NEW QUESTIONS
AND VERIFIED ANSWERS LATEST
SOLUTION 2026/2027
◎ What physical history should you obtain before cosmetic injections? ANSWER: - Herpetic
breakouts, metal implants in cheek or chin, keloid scarring, perm make-up, Pret/nursing, he of
bleeding disorders, smoking history, blood thinner, aminoglycoside antibiotics,
immunosuppressants, herbals, skin care, tanning he, Fitzpatrick type, skin infections, animal
based allergies
◎ What herbals or vitamins could interfere or cause increased bruising with injections?
ANSWER: - Vit E, flaxseed, omega 3, fish oil, "G" herbs- ginkgo, garlic, turmeric, bromeliad,
peppermint, cayenne pepper
◎ What skin care questions should you ask before cosmetic treatments? ANSWER: - Retinoids,
lightening agents before laser/light peel, micro needling, microdermabrasion, chemical peels,
waxing
◎ Why are aminoglycoside ATB contraindicated with Botox? ANSWER: - May interfere with
neuromuscular transmission
◎ What are examples of amino-glycoside antibiotics? ANSWER: - Gent, Toby, neomycin,
streptomycin, amikacin, kanamycin, netilmian, paromycin
◎ What questions should you ask before tanning history? ANSWER: - Tanning bed, outdoor
activities, have they received injections to increase melanin in the body, (normally get this
outside of our country). How much time do they work outside?
◎ CAn Fitzpatrick type change? ANSWER: - Yes, based on sun exposure
◎ What do we need to know in regards to medical conditions? ANSWER: - Any current
treatment for ALS, scleroderma, RA
◎ Which fillers DO NOT include Lidocaine? ANSWER: - Restylane, Juvederm Ultra/Ultra Plus,
Revanesse, Beletero Balance
,◎ If a patient has a animal based allergy, what are some special considerations regarding
injections? ANSWER: - Dysport include a cow's mild protein (this does not apply to lactose
intolerance), there is a Bovine Collagen Barrier Base in Bellafil
◎ What ingredients would be considered animal based allergies? ANSWER: - Vitrase ovine-
Hyaluronidase (sheep), Amphase bovine- Hyaluronidase (cow)
◎ Alpha Gal Syndrome is what? ANSWER: - A Red Beef Allergy, a delayed reaction to a
component in injection
◎ What are the Fitzpatrick skin types? ANSWER: - Type 1- highly sensitive, always burns, never
tans (red hair with freckles)
Type 2- very sun sensitive, burns easily, tans minimally (fair skinned, fair haired whites)
Type 3- sun sensitive skin, sometimes burns slowly tans to light brown (darker whites)
Type 4- minimally sun sensitive, burns minimally, always tans to moderate brown
(Mediterranean type whites, some Hispanics)
Type 5- sun insensitive skin, rarely burns, tans well (some Hispanics, some blacks)
Type 6- sun insensitive, never burns, deeply pigmented (darker blacks)
◎ What are the Glogau Wrinkle Assessment Scale? ANSWER: - Type 1- no wrinkles, Type 2-
hyperkinetic/wrinkles in motion
Group 3- static/wrinkles at rest, Group 4- only wrinkles
◎ What is the Glogau Wrinkle Scale being used for? ANSWER: - A scale for clinical trials. Must
see an improvement in 2 groups to be clinically effective
◎ What are some of the psychological warning signs for cosmetic procedures? ANSWER: - BDD,
depression, OCD, anxiety, addiction, overuse and over treatment
◎ What is BDD (Body Dysmorphic Disorder)? ANSWER: - A chronic mental illness, person cannot
stop thinking about flaws and appearance "real or imagined", consumed with pointing out facial
or body imperfections. They believe that non-surgical options will drastically change their lives
◎ What are some signs of BDD? ANSWER: - Patients will say that they have been to multiple
providers and no one is able to help them. "This treatment will completely change my life",
disrespectful to staff, expect perfection, no improvement, does not smile, avoid eye contact,
unrealistic expectations
, ◎ What should be done for a patient that has probably BDD? ANSWER: - Sent for psych consult,
notify supervising physician about this
◎ What are some questions to ask patients with potential BDD? ANSWER: - How many
hours/day do you spend thinking about your face?
◎ Will patients with BDD benefit from non surgical aesthetic interventions? ANSWER: - No
◎ What should you ALWAYS do before each procedure? ANSWER: - Take before photos and
make sure patient initials each place on consent
◎ What is the outermost layer of dead skin called? ANSWER: - Epidermis
◎ What are the layers of the epidermis starting with outermost layer? ANSWER: - Stratum for
emu, stratum granulosum, stratum spinous, stratum basalt (basal cells maintain epidermis,
continually renewing the cell population
◎ What is the layer beneath the epidermis?. ANSWER: - Dermis
◎ What is the function of the dermis? ANSWER: - The support layer of the skin- BV, hair, nerve
endings, collagen, elastin and HA
◎ What is the function of HA? ANSWER: - Acts as a scaffold for collagen and elastin and attracts
water which keeps skin plump and moisturized
◎ What happens in the skin as we age? ANSWER: - There is a reduction in sweat and oil glands,
the skin is more dry and itchy, slower cell productions, results in a thinner epidermis (can see
facial vessels). The skin loses the ability to retain moisture because the production of HA slows
down
◎ What happens as we lose collagen and elastin? ANSWER: - The reduction and loss results in
rhythms and sagging skin
◎ What happens to facial fat as we age? ANSWER: - Loss of adipose tissue in SQ layer, fat pads
begin to shrink and are not longer contiguous
◎ What is the purpose of deep fat? ANSWER: - Provides facial contour and shape- volume loss
leads to PTO sis and changes in face contour- cheek flattening
AND STRENGTHS EXAM – NEW QUESTIONS
AND VERIFIED ANSWERS LATEST
SOLUTION 2026/2027
◎ What physical history should you obtain before cosmetic injections? ANSWER: - Herpetic
breakouts, metal implants in cheek or chin, keloid scarring, perm make-up, Pret/nursing, he of
bleeding disorders, smoking history, blood thinner, aminoglycoside antibiotics,
immunosuppressants, herbals, skin care, tanning he, Fitzpatrick type, skin infections, animal
based allergies
◎ What herbals or vitamins could interfere or cause increased bruising with injections?
ANSWER: - Vit E, flaxseed, omega 3, fish oil, "G" herbs- ginkgo, garlic, turmeric, bromeliad,
peppermint, cayenne pepper
◎ What skin care questions should you ask before cosmetic treatments? ANSWER: - Retinoids,
lightening agents before laser/light peel, micro needling, microdermabrasion, chemical peels,
waxing
◎ Why are aminoglycoside ATB contraindicated with Botox? ANSWER: - May interfere with
neuromuscular transmission
◎ What are examples of amino-glycoside antibiotics? ANSWER: - Gent, Toby, neomycin,
streptomycin, amikacin, kanamycin, netilmian, paromycin
◎ What questions should you ask before tanning history? ANSWER: - Tanning bed, outdoor
activities, have they received injections to increase melanin in the body, (normally get this
outside of our country). How much time do they work outside?
◎ CAn Fitzpatrick type change? ANSWER: - Yes, based on sun exposure
◎ What do we need to know in regards to medical conditions? ANSWER: - Any current
treatment for ALS, scleroderma, RA
◎ Which fillers DO NOT include Lidocaine? ANSWER: - Restylane, Juvederm Ultra/Ultra Plus,
Revanesse, Beletero Balance
,◎ If a patient has a animal based allergy, what are some special considerations regarding
injections? ANSWER: - Dysport include a cow's mild protein (this does not apply to lactose
intolerance), there is a Bovine Collagen Barrier Base in Bellafil
◎ What ingredients would be considered animal based allergies? ANSWER: - Vitrase ovine-
Hyaluronidase (sheep), Amphase bovine- Hyaluronidase (cow)
◎ Alpha Gal Syndrome is what? ANSWER: - A Red Beef Allergy, a delayed reaction to a
component in injection
◎ What are the Fitzpatrick skin types? ANSWER: - Type 1- highly sensitive, always burns, never
tans (red hair with freckles)
Type 2- very sun sensitive, burns easily, tans minimally (fair skinned, fair haired whites)
Type 3- sun sensitive skin, sometimes burns slowly tans to light brown (darker whites)
Type 4- minimally sun sensitive, burns minimally, always tans to moderate brown
(Mediterranean type whites, some Hispanics)
Type 5- sun insensitive skin, rarely burns, tans well (some Hispanics, some blacks)
Type 6- sun insensitive, never burns, deeply pigmented (darker blacks)
◎ What are the Glogau Wrinkle Assessment Scale? ANSWER: - Type 1- no wrinkles, Type 2-
hyperkinetic/wrinkles in motion
Group 3- static/wrinkles at rest, Group 4- only wrinkles
◎ What is the Glogau Wrinkle Scale being used for? ANSWER: - A scale for clinical trials. Must
see an improvement in 2 groups to be clinically effective
◎ What are some of the psychological warning signs for cosmetic procedures? ANSWER: - BDD,
depression, OCD, anxiety, addiction, overuse and over treatment
◎ What is BDD (Body Dysmorphic Disorder)? ANSWER: - A chronic mental illness, person cannot
stop thinking about flaws and appearance "real or imagined", consumed with pointing out facial
or body imperfections. They believe that non-surgical options will drastically change their lives
◎ What are some signs of BDD? ANSWER: - Patients will say that they have been to multiple
providers and no one is able to help them. "This treatment will completely change my life",
disrespectful to staff, expect perfection, no improvement, does not smile, avoid eye contact,
unrealistic expectations
, ◎ What should be done for a patient that has probably BDD? ANSWER: - Sent for psych consult,
notify supervising physician about this
◎ What are some questions to ask patients with potential BDD? ANSWER: - How many
hours/day do you spend thinking about your face?
◎ Will patients with BDD benefit from non surgical aesthetic interventions? ANSWER: - No
◎ What should you ALWAYS do before each procedure? ANSWER: - Take before photos and
make sure patient initials each place on consent
◎ What is the outermost layer of dead skin called? ANSWER: - Epidermis
◎ What are the layers of the epidermis starting with outermost layer? ANSWER: - Stratum for
emu, stratum granulosum, stratum spinous, stratum basalt (basal cells maintain epidermis,
continually renewing the cell population
◎ What is the layer beneath the epidermis?. ANSWER: - Dermis
◎ What is the function of the dermis? ANSWER: - The support layer of the skin- BV, hair, nerve
endings, collagen, elastin and HA
◎ What is the function of HA? ANSWER: - Acts as a scaffold for collagen and elastin and attracts
water which keeps skin plump and moisturized
◎ What happens in the skin as we age? ANSWER: - There is a reduction in sweat and oil glands,
the skin is more dry and itchy, slower cell productions, results in a thinner epidermis (can see
facial vessels). The skin loses the ability to retain moisture because the production of HA slows
down
◎ What happens as we lose collagen and elastin? ANSWER: - The reduction and loss results in
rhythms and sagging skin
◎ What happens to facial fat as we age? ANSWER: - Loss of adipose tissue in SQ layer, fat pads
begin to shrink and are not longer contiguous
◎ What is the purpose of deep fat? ANSWER: - Provides facial contour and shape- volume loss
leads to PTO sis and changes in face contour- cheek flattening
