ABPS ABPS Breast Surgery & Oncoplastic Reconstruction

Question 1

Which implant placement plane is most commonly associated with capsular contracture in breast augmentation?

Accepted Answer

Subglandular

Answer

Subglandular placement has higher capsular contracture rates compared to submuscular or dual-plane positioning.

Question 2

What classification system is used to grade capsular contracture after breast augmentation?

Accepted Answer

Baker classification

Answer

The Baker classification (Grades I–IV) is the standard system for grading the severity of capsular contracture.

Question 3

In nipple-sparing mastectomy, which factor most significantly increases the risk of nipple necrosis?

Accepted Answer

Ptotic breast with long nipple-to-IMF distance

Answer

A ptotic breast with a long nipple-to-inframammary fold distance creates vascular compromise to the nipple-areola complex.

Question 4

The TRAM flap for breast reconstruction is primarily based on which vascular pedicle?

Accepted Answer

Deep inferior epigastric artery

Answer

The free TRAM flap is based on the deep inferior epigastric artery (DIEA), providing superior perfusion compared to the pedicled variant.

Question 5

Which FDA-approved breast implant surface texture has been most closely linked to breast implant-associated anaplastic large cell lymphoma (BIA-ALCL)?

Accepted Answer

Macrotextured

Answer

Macrotextured implants carry the highest reported incidence of BIA-ALCL compared to smooth or minimally textured devices.

(ABPS) Certified American Board of Plastic Surgery Practice Test

(ABPS) Certified American Board of Plastic Surgery Practice Test

ABPS ABPS Breast Surgery & Oncoplastic Reconstruction