ABPS Aesthetic Procedures & Patient Safety 4

Question 1

A patient presents with induration, erythema, and papules 3 weeks after calcium hydroxylapatite filler injection. The most appropriate treatment is:

Accepted Answer

Intralesional corticosteroids and possibly 5-fluorouracil for biofilm-associated granuloma

Answer

Late inflammatory nodules after CaHA filler are often biofilm-mediated granulomas best treated with intralesional corticosteroids ± 5-FU; hyaluronidase has no effect on CaHA.

Question 2

Which nerve is most at risk of injury during suction-assisted lipectomy of the medial thigh?

Accepted Answer

Saphenous nerve

Answer

The saphenous nerve runs superficially along the medial thigh and knee, making it vulnerable to cannula trauma during medial thigh liposuction.

Question 3

In the setting of accidental intra-arterial injection of hyaluronic acid filler causing skin blanching, the immediate first-line treatment is:

Accepted Answer

High-dose hyaluronidase injection into and around the affected area without delay

Answer

Immediate high-dose hyaluronidase injection is the first-line emergency treatment to dissolve the occluding filler and restore vascular perfusion.

Question 4

Which classification system is most widely used to grade the severity of capsular contracture following breast augmentation?

Accepted Answer

Baker classification (Grades I–IV)

Answer

The Baker classification grades capsular contracture from I (soft, natural) to IV (hard, painful, distorted) and is the universal standard for clinical communication.

Question 5

A surgeon notices excessive bleeding during a facelift despite normal preoperative coagulation studies. The most important history item to clarify is:

Accepted Answer

Use of herbal supplements such as fish oil, ginkgo, or vitamin E within 2 weeks of surgery

Answer

Many herbal supplements have platelet-inhibiting or anticoagulant properties and are frequently omitted from standard medication histories unless specifically asked.

(ABPS) Certified American Board of Plastic Surgery Practice Test

(ABPS) Certified American Board of Plastic Surgery Practice Test

ABPS Aesthetic Procedures & Patient Safety 4