Monday, May 24, 2010

1-10 MCQ in Facial Plastic and Reconstructive Surgery

1-10
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Updated: May 28, 2018

1) Which of the following unilateral cleft lip repairs is the ONE represented in the drawing below?


A. Millard
B. Tennison-Randall
C. Millard with triangular flap inferiorly based
D. Two-triangle flap
E. LeMesurier

2) The “pinch technique” in blepharoplasty is MOST commonly used with which technique

A. Subciliary transcutaneous lower eyelid blepharoplasty, skin technique
B. Subciliary transcutaneous lower eyelid blepharoplasty, skin-muscle technique
C. Subciliary transcutaneous lower eyelid blepharoplasty, both techniques mentioned above
D. Transconjuntival lower lid blepharoplasty
E. Lower eyelid blepharoplasty, SOOF (suborbicularis oculi fat) technique

3) The END POINT of microdermabrasion is which of the following?

A. Erythema.
B. Edema
C. Blister formation
D. Yellow-pale decoloration of the skin
E. Frosting

4) Which of the following techniques is the MOST useful to treating glabellar frown lines?

A. Chemical peeling
B. Botox injection
C. Microdermabrasion
D. Dermabrasion
E. CO2 laser resurfacing

5) The VERTICAL GLABELLAR frown lines are due to the contraction of which muscle?

A. Frontalis muscle
B. Corrugator muscle
C. Procerus muscle
D. Orbicularis oculi muscle
E. Depressor supercilii

6) The helical rim in microtia repair is created by which number CONTRALATERAL COSTAL RIB?

A. 5
B. 6
C. 7
D. 8
E. 9

7) Which of the following statements IS TRUE about a “note flap”?

A. It is a rotation flap
B. It is useful to close a rectangular defect
C. It is useful to close a fusiform defect
D. It is useful to close a circular defect
E. It is an advancement flap

8) An aggressive helical rim setback will PRODUCE which of the following occurrences?

A. Protrusion of the lobule
B. Extrusion of the sutures
C. Vertical post deformity
D. Telephone ear deformity
E. Reverse telephone ear deformity

9) On the lateral view the columelar show or alar/columellar relationship SHOULD BE how many mm?

A. 0 mm
B. 1 mm
C. 3 mm
D. 5 mm
E. 6 mm

10) The nasolabial angle in the male IS CHARACTERIZED by which of the following?

A. It is 80 degrees.
B. It is 105 degrees.
C. It is more acute than the female.
D. It is more obtuse than the female.
E. There is no difference between males and females.


ANSWERS & REFERENCES


1) B     Tennison-Randall

Bumsted R. M.: Management of Unilateral Cleft Lip, Chapter 10, in Pediatric Facial Plastic and Reconstructive Surgery (Smith, Bumsted, editors), Raven Press, pp. 131-145, 1992

Capone R. B., Sykes J. M.: in chapter 76 Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) pp. 1059-1078, 2009

 http://emedicine.medscape.com/cleftlip


2) D     Transconjuntival lower lid blepharoplasty

Rankin B.S., Arden R.L., Crumley R.L.: Lower Eyelid Blepharoplasty in chapter 27 Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp. 202, 2002

Crumley R. L., Torkian B. A., Karam A. M.: in chapter 23 Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) pp. 271-285, 2009

Perkins S. W. , Prischmann J.: Lower Eyelid Blepharoplasty, chapter 187, Bailey's Head & Neck Surgery Otolaryngology,  (Johnson J.T., Rosen C. A.,editors), Volume two, fifth edition, Wolters Klumer/Lippincott Williams & Wilkins, 2014, pp. 3085-3102

3) A     Erythema

http://www.emedicine.com/ent/topic739.htm

Freeman M. S.: Microdermabrasion, Facial Rejuvenation: Nonsurgical Modalities, Facial Plastic Surgey Clinics of North America, Vol. 9 No. 2, pp. 257-259, 2001

4) B     Botox injection

Carruthers J., Carruthers A.: Botulinum Toxin (Botox) Chemodenervation for Facial Rejuvenation in Facial Plastic of North America, Vol. 9 No. 2, p. 198, May 2001

Gillman G. S.: Cosmetic Uses of Neurotoxins and Injectable Fillers, chapter 197, Bailey's Head & Neck Surgery Otolaryngology,  (Johnson J.T., Rosen C. A.,editors), Volume two, fifth edition, Wolters Klumer/Lippincott Williams & Wilkins, 2014, pp. 3239-3251

 http://emedicine.medscape.com/article/841964-overview

5) B     Corrugator muscle

Zimbler M.S., Kokoska M.S., Thomas J.R.: Anatomy and Pathophysiology of Facial Aging in Facial Plastic of North America, Vol. 9 No. 2, p. 183, May 2001

Graham III H. D., Quatela V. C., Sabini P.: in chapter 20 Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) pp. 227-241, 2009

 Karini K., Adamson P.A.:, chapter 185, Bailey's Head & Neck Surgery Otolaryngology,  (Johnson J.T., Rosen C. A.,editors), Volume two, fifth edition, Wolters Klumer/Lippincott Williams & Wilkins, 2014, pp. 3053-3073

6) E     9


Ruder R.O: Congenital Malformation of the Auricle in chapter 64, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) p. 808, 2002

Ruder R.O: Congenital Auricular deformities in chapter 75, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 1043-1057, 2009

7) D     It is useful to close a circular defect

Park S.: Local and Regional Cutaneous Flaps in chapter 44, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) p. 808, 2002

Park S.: Congenital Auricular deformities in chapter 54, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 721-743, 2009

8) E     Reverse telephone ear deformity

Nachlas N.E :Otoplasty in chapter 27, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) p. 320, 2002

Nachlas N.E.: Otoplasty in chapter 34, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 421-433, 2009

http://emedicine.medscape.com/reversetelephonearticle

9) C     3 mm

Orten S.S., Hilger P.A.: Facial Analysis of the Rhinoplasty Patient in chapter 31, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp. 365-366, 2002

Boahen K.D.O., Orten S.S., Hilger P.A.: Facial Analysis of the Rhinoplasty Patient in chapter 38, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 477-487, 2009

Gillman G. S.: Rhioplasty: Incisions, Aproaches and Analysis, chapter 180, Bailey's Head & Neck Surgery Otolaryngology,  (Johnson J.T., Rosen C. A.,editors), Volume two, fifth edition, Wolters Klumer/Lippincott Williams & Wilkins, 2014, pp.2941-2951


10) C     It is more acute than the female

Orten S.S., Hilger P.A.: Facial Analysis of the Rhinoplasty Patient in chapter 31, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp. 365, 2002

Boahen K.D.O., Orten S.S., Hilger P.A.: Facial Analysis of the Rhinoplasty Patient in chapter 38, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 477-487, 2009

Gillman G. S.: Rhioplasty: Incisions, Aproaches and Analysis, chapter 180, Bailey's Head & Neck Surgery Otolaryngology,  (Johnson J.T., Rosen C. A.,editors), Volume two, fifth edition, Wolters Klumer/Lippincott Williams & Wilkins, 2014, pp.2941-2951

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 Updated: May 28, 2018

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