ABPS Preoperative Assessment & Postoperative Care 2

Question 1

Which lab value is most critical to check before elective plastic surgery in a patient on long-term warfarin therapy?

Accepted Answer

INR

Answer

INR must be within an acceptable range (typically <1.5) before elective surgery to minimize bleeding risk in patients on warfarin.

Question 2

A patient undergoing abdominoplasty is found to have a BMI of 38. What is the most appropriate next step?

Accepted Answer

Delay surgery and recommend weight loss to BMI <30

Answer

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.

Question 3

What is the recommended postoperative position for a patient following facelift surgery to reduce edema?

Accepted Answer

Head of bed elevated 30–45 degrees

Answer

Elevating the head of the bed 30–45 degrees reduces facial edema and venous pooling following rhytidectomy.

Question 4

Which of the following is a Caprini score component used to assess VTE risk in plastic surgery patients?

Accepted Answer

History of prior DVT or PE

Answer

Prior DVT or PE is a major Caprini risk factor and contributes significantly to the overall VTE risk score.

Question 5

A patient reports taking St. John's Wort herbal supplement. When should this be discontinued before elective surgery?

Accepted Answer

At least 2 weeks before surgery

Answer

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.

(ABPS) Certified American Board of Plastic Surgery Practice Test

(ABPS) Certified American Board of Plastic Surgery Practice Test

ABPS Preoperative Assessment & Postoperative Care 2