ABPS Preoperative Assessment & Postoperative Care 4

Question 1

Which criterion is part of the STOP-BANG questionnaire used preoperatively to screen for obstructive sleep apnea?

Accepted Answer

Neck circumference >40 cm

Answer

Neck circumference >40 cm is one of the eight STOP-BANG criteria used to identify patients at high risk for obstructive sleep apnea.

Question 2

What is the recommended minimum preoperative fasting time for clear liquids before elective plastic surgery under general anesthesia per ASA guidelines?

Accepted Answer

2 hours

Answer

ASA guidelines recommend a minimum fasting period of 2 hours for clear liquids prior to elective procedures under general or regional anesthesia.

Question 3

A postoperative breast augmentation patient reports sudden onset of asymmetric swelling, pain, and erythema 2 years after surgery. The most important diagnosis to exclude is:

Accepted Answer

Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL)

Answer

BIA-ALCL must be excluded in any patient with late-onset periprosthetic effusion, as it is a rare but serious T-cell lymphoma associated with textured implants.

Question 4

In a patient with sickle cell trait undergoing elective rhinoplasty, which preoperative precaution is most critical?

Accepted Answer

Ensuring adequate oxygenation and hydration

Answer

Adequate oxygenation, hydration, and normothermia are critical to prevent sickling crises in patients with sickle cell trait during perioperative care.

Question 5

Which postoperative instruction is most important after blepharoplasty to prevent corneal damage?

Accepted Answer

Use lubricating eye drops and avoid dry environments

Answer

Lubricating eye drops protect the cornea from exposure keratitis, which can occur if lagophthalmos (incomplete eye closure) is present postoperatively.

(ABPS) Certified American Board of Plastic Surgery Practice Test

(ABPS) Certified American Board of Plastic Surgery Practice Test

ABPS Preoperative Assessment & Postoperative Care 4