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PSNCB-CPSN Exam Format | PSNCB-CPSN Course Contents | PSNCB-CPSN Course Outline | PSNCB-CPSN Exam Syllabus | PSNCB-CPSN Exam Objectives

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.

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