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The CPSN exam is a computer-based test consisting of 175 multiple-choice questions. Candidates are given 3 hours to complete the exam. The questions are divided into the following categories:

Core Knowledge (25% of the exam):
Anatomy and physiology
Wound healing and tissue repair
Pharmacology related to plastic surgery
Anesthesia and pain management

Preoperative Care (20% of the exam):
Patient exam and education
Preoperative planning and preparation
Informed consent and ethical considerations

Intraoperative Care (20% of the exam):
Surgical procedures and techniques
Sterilization and infection control
Operating room safety and protocols

Postoperative Care (25% of the exam):
Postoperative exam and monitoring
Complication management
Patient education and discharge planning

Professional Issues (10% of the exam):
Legal and ethical issues in plastic surgical nursing
Scope of practice and professional standards
Patient advocacy and communication

Details:

- Patient Assessment and Care Planning
- Preoperative exam
- medical history
- physical examination
- risk factors
- Psychosocial exam
- patient expectations
- body image
- mental health

- Development of individualized care plans.
- Patient education and informed consent.
- Informed consent
- risk exam
- body dysmorphic disorder (BDD)
- comorbidities

- Intraoperative Care
- Roles and responsibilities of the plastic surgical nurse in the operating room.
- Sterile techniques and infection control.
- Surgical instrumentation and equipment.
- Anesthesia monitoring and patient positioning.
- Aseptic technique
- surgical draping
- electrosurgery
- tourniquet
- deep vein thrombosis (DVT) prophylaxis

- Postoperative Care
- Immediate postoperative care
- monitoring
- pain management
- wound care
- Management of postoperative complications
- infection
- hematoma
- seroma

- Long-term follow-up and patient education.
- Scar management and rehabilitation.
- Hematoma
- seroma
- dehiscence
- necrosis
- compression garments
- negative pressure wound therapy (NPWT)

- Reconstructive Procedures
- Principles of reconstructive surgery
- grafts
- flaps
- microsurgery
- Common reconstructive procedures
- breast reconstruction
- facial reconstruction
- burn reconstruction

- Postoperative care for reconstructive patients.
- Autograft
- allograft
- free flap
- pedicle flap
- tissue expansion
- skin graft

- Cosmetic Procedures
- Principles of cosmetic surgery
- facial rejuvenation
- body contouring
- non-surgical procedures
- Common cosmetic procedures
- rhinoplasty
- liposuction
- breast augmentation

- Postoperative care for cosmetic patients.
- Botox
- dermal fillers
- laser resurfacing
- abdominoplasty
- blepharoplasty
- liposuction
- Phases of wound healing
- inflammatory
- proliferative
- remodeling

- Types of wound closure (primary, secondary, tertiary intention).
- Wound care products
- hydrocolloids
- hydrogels
- alginates
- Pharmacological and non-pharmacological pain management techniques.
- Patient-controlled analgesia (PCA).
- Assessment tools
- visual analog scale
- numeric rating scale

- Infection Control
- Surgical site infections (SSI).
- Antibiotic prophylaxis.
- Hand hygiene and sterilization techniques.
- Ethical and Legal Considerations
- Patient confidentiality (HIPAA compliance).
- Ethical dilemmas in plastic surgery (e.g., cosmetic surgery for minors).

- Legal issues
- malpractice
- informed consent
- Patient Education and Support
- Preoperative and postoperative instructions.
- Emotional support and counseling.
- Lifestyle modifications
- smoking cessation
- weight management

- Head and neck
- Disease process - Cranial-facial congenital anomalies - cleft lip & palate; Vascular malformations - hemangiomas, Port wine stain, Arteriovenous malformation; cancers, skin lesions
- Trauma - facial fractures, Le Forte fx, mandibular fractures, burns, soft tissue trauma, animal bites

- Breast
- Disease process - cancer, benign tumors, congenital Poland syndrome, asymmetry, nipple deformity (e.g., inversion)
- Trauma - soft tissue injury, burns, necrosis, abscesses (pressure ulcers)

- Extremities
- Disease process - cancers, ulcers, amputation, contractures, benign tumors (ganglion, mucocysts, epidermoid inclusion cyst)
- Trauma - amputation, burns, lacerations, fractures, gamekeepers injury, dislocation of digits, brachial plexus injury, vascular injury (replantation, revascularization), animal bites

- Abdomen & trunk
- Disease process - cancers, benign tumors, post-bariatric surgeries, vaginal reconstruction
- Trauma - burns, soft tissue injuries, gunshot wounds, avulsion injuries, genital injury.

- Cosmetic/Aesthetic
- Surgical
- Head and neck - rhinoplasty, blepharoplasty, cheek augmentation, chin augmentation, ears, face lift, brow lift, hair transplant, neck lift, suctionassisted liposuction (SAL).
- Breast - augmentation, reduction, revision, mastopexy, malegynecomastia, SAL.
- Extremities - arm lift, SAL, thigh lift.
- Abdomen & trunk - Body contouring: buttock augmentation, SAL, lower body lift, tummy tuck, labiaplasty, vaginaplasty.

- Nonsurgical/Aesthetic
- Aesthetic injectables.
- Laser, light, & energy therapies.
- Clinical skin care.