ABPS Aesthetic Procedures & Patient Safety 2

Question 1

A patient on warfarin requests a facelift. What is the most appropriate perioperative management strategy?

Accepted Answer

Discontinue warfarin 5 days preoperatively and bridge with heparin as indicated

Answer

Continue warfarin at full dose throughout the perioperative period

Answer

Switch permanently to aspirin before scheduling surgery

Answer

Perform the procedure without any anticoagulation modification

Question 2

Which informed consent element is most critical to document before performing liposuction under tumescent local anesthesia?

Accepted Answer

Discussion of lidocaine toxicity risk including maximum safe dosing limits

Answer

Agreement that no revision surgery will be needed

Answer

Patient's confirmation that they have researched the procedure online

Answer

Disclosure of the surgeon's complication rate compared to national average

Question 3

A patient develops sudden dyspnea and pleuritic chest pain 48 hours after abdominoplasty. The first diagnostic step should be:

Accepted Answer

CT pulmonary angiography

Answer

Chest X-ray only

Answer

D-dimer lab test and discharge if negative

Answer

Empiric anticoagulation without imaging

Question 4

When injecting botulinum toxin for glabellar lines, inadvertent diffusion into which muscle most commonly causes upper eyelid ptosis?

Accepted Answer

Levator palpebrae superioris

Answer

Orbicularis oculi

Answer

Frontalis

Answer

Zygomaticus major

Question 5

Which of the following is the safest patient position for reducing the risk of venous thromboembolism during a prolonged cosmetic surgery?

Accepted Answer

Sequential compression devices applied before induction and maintained throughout

Answer

Anti-embolism stockings applied at procedure end

Answer

Reverse Trendelenburg positioning throughout the case

Answer

Keeping the patient NPO the night before to reduce blood viscosity

Question 6

A patient presents 6 weeks after rhinoplasty with progressive tip swelling and erythema. The most likely diagnosis is:

Accepted Answer

Infected implant or suture abscess requiring drainage and possible implant removal

Answer

Normal postoperative edema resolving on schedule

Answer

Hematoma requiring immediate surgical evacuation

Answer

Allergic reaction to the surgical drape adhesive

Question 7

The Caprini Risk Assessment Model is used in aesthetic surgery primarily to:

Accepted Answer

Stratify individual patient VTE risk and guide prophylaxis intensity

Answer

Predict likelihood of aesthetic dissatisfaction postoperatively

Answer

Calculate the maximum safe dose of tumescent anesthesia

Answer

Determine candidacy for general versus local anesthesia