Preoperative Assessment & Postoperative Care Flashcards
7 cards from real ABPS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Preoperative Assessment & Postoperative Care flashcards as text
Which lab value is most critical to check before elective plastic surgery in a patient on long-term warfarin therapy?
Answer: INR
INR must be within an acceptable range (typically <1.5) before elective surgery to minimize bleeding risk in patients on warfarin.
A patient undergoing abdominoplasty is found to have a BMI of 38. What is the most appropriate next step?
Answer: Delay surgery and recommend weight loss to BMI <30
A BMI ≥35 significantly increases complication risk (DVT, wound dehiscence, infection), and delaying surgery until BMI is reduced to <30–32 is standard ABPS guidance.
What is the recommended postoperative position for a patient following facelift surgery to reduce edema?
Answer: Head of bed elevated 30–45 degrees
Elevating the head of the bed 30–45 degrees reduces facial edema and venous pooling following rhytidectomy.
Which of the following is a Caprini score component used to assess VTE risk in plastic surgery patients?
Answer: History of prior DVT or PE
Prior DVT or PE is a major Caprini risk factor and contributes significantly to the overall VTE risk score.
A patient reports taking St. John's Wort herbal supplement. When should this be discontinued before elective surgery?
Answer: At least 2 weeks before surgery
St. John's Wort should be stopped at least 2 weeks preoperatively due to its CYP450 induction, which can alter drug metabolism and increase bleeding risk.
What is the most common postoperative complication following augmentation mammaplasty?
Answer: Capsular contracture
Capsular contracture is the most common long-term complication after breast augmentation, affecting approximately 10–20% of patients over time.
Which factor is considered a contraindication for outpatient surgery in a plastic surgery patient?
Answer: Obstructive sleep apnea requiring CPAP
Moderate-to-severe obstructive sleep apnea requiring CPAP is a relative contraindication for outpatient plastic surgery due to postoperative airway risk.