ABCS Risk Assessment & Management 2

Question 1

A patient taking warfarin for atrial fibrillation requests an elective rhinoplasty. What is the most appropriate next step in risk management?

Accepted Answer

Coordinate with the patient's cardiologist to determine safe bridging or hold strategy

Answer

Coordinating with the managing cardiologist ensures a safe anticoagulation management plan tailored to the patient's thromboembolic risk profile.

Question 2

Which ASA physical status classification applies to a patient with well-controlled Type 2 diabetes and a BMI of 31?

Accepted Answer

ASA II

Answer

ASA II describes patients with mild systemic disease that does not limit activity, such as well-controlled diabetes or mild obesity.

Question 3

Intraoperative hypotension in a patient undergoing abdominoplasty under general anesthesia is most immediately managed by:

Accepted Answer

Fluid resuscitation and vasopressors as indicated after identifying the cause

Answer

Identifying the cause of hypotension while simultaneously supporting perfusion with fluids and vasopressors is the appropriate initial management algorithm.

Question 4

Which preoperative lab finding would most significantly increase perioperative risk for elective facial liposuction?

Accepted Answer

Serum creatinine of 3.2 mg/dL

Answer

A creatinine of 3.2 mg/dL indicates significant renal impairment, increasing risk for fluid and electrolyte disturbances, delayed drug clearance, and wound healing complications.

Question 5

A smoker requests elective facelift surgery. Which counseling strategy best addresses risk reduction?

Accepted Answer

Advise cessation for at least 4 weeks before and 4 weeks after surgery

Answer

Smoking cessation for at least 4 weeks preoperatively significantly reduces the risk of flap necrosis, wound dehiscence, and infection.

(ABCS) American Board of Cosmetic Surgery Certification Practice Test

(ABCS) American Board of Cosmetic Surgery Certification Practice Test

ABCS Risk Assessment & Management 2