61-70 MCQ in Facial Plastic and Reconstructive Surgery

61-70
61) Which of the following is the unilateral cleft lip repair REPRESENTED in the drawing below? Click the picture to enlarge image.

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

62) Which of the following techniques is the IDEAL for the reconstruction of an upper or lower full-thickness eyelid defect of up to 50%?

A. Primary closure with skin grafting
B. Transposition flap
C. Rotational myocutaneous flap from the lateral canthal area, Tenzel Flap
D. Two-stage reconstruction, Hughes tarso-conjuntival flap
E. Two-stage reconstruction, the Cutler Beard technique

63) A patient is under local anesthesia and IV sedation and suddenly develops PVC, premature ventricular contractions with pulse above 50.Which of the following options IS INDICATED in this particular patient?

A. Carotid sinus massage
B. Lidocaine
C. Atropine
D. Verapamil
E. Bretylium

64) Cutaneous malignancy of the external ear is MOST commonly found in the:

A. Antihelix
B. Conchal bowl
C. Lobule
D. Tragus
E. Scapha

65) Which of the following anesthetic agents is MOST likely to be involved in an allergic reaction?

A. Lidocaine
B. Bupivacaine
C. Mepivacaine
D. Ropivacaine
E. Tetracaine

66) The BEST donor site for a bone graft to close a residual alveolar cleft is the:

A. Calvarial bone
B. Iliac crest bone
C. Autogenous rib
D. Symphyseal area of the mandible
E. Allogenic bone

67) Which of the following components IS NOT a component in Jessner’s Formula?

A. Resorcinol
B. Salicylic acid
C. Lactic acid
D. Ethanol
E. Glycolic acid

68) Which PERCENTAGE is expected to induce skin allergic reaction when using bovine dermal collagen?

A. 1%
B. 3%
C. 5%
D. 10%
E. 15%

69) Which of the following is FALSE about the Baker-Gordon formula?

A. An intravenous line with preoperative and intraoperative adequate hydration is mandatory.
B. Croton oil acts as a vesicant enhancing phenol absorption.
C. The liquid soap, Septisol, is a surfactant that reduces skin tension.
D. The Baker-Gordon formula can be refrigerated for multiple usages.
E. The phenol component is diluted to 88% (full strength preparation)

70) Which of the following anesthetic agents is metabolized in the plasma by the cholinesterase?

A. Lidocaine
B. Bupivacaine
C. Mepivacaine
D. Ropivacaine
E. Tetracaine

ANSWERS & REFERENCES


61) A     Millard

Bumsted R. M.: Chapter 10 in Pediatric Facial Plastic and Reconstructive Surgery, (Smith and Bumsted, editors), Raven Press, pp.131-145, 1993

Capone R. B., Sykes J. M.: Evaluation and Management of Cleft Lip and Palate Disorders, Chapter 76 in Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 1059-1078, 2009

 Davit III A. J., Otteson T., Losee J. E.: Comprehensive Cleft Care, Chapter 103 in
Bailey's Head & Neck Surgery Otolaryngology, (Johnson J.T., Rosen C. A., editors), Volume one, Fifth edition, Wolters Kluwer / Lippincott Williams & Wilkins, 2014,  pp.1556-1573

62) C     Rotational myocutaneous flap from the lateral canthal area, Tenzel Flap

Custer P.L.: Conceptual Approach to Eyelid Reconstruction, Otolaryngologic Clinics of the North America, Vol. 23, No. 5, pp. 997-1001, 1990

Kaltreider S.A.: Periocular Reconstruction in Chapter 52 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Second Edition, pp. 650-652, 2002

Kaltreider S. A.: Periocular Reconstruction, Chapter 62 in Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 855-867, 2009

63) B      Lidocaine

Courtiss E.H., Kanter M. A.: The Prevention and Management of Medical Problems During Office Surgery, Plastic and Reconstructive Surgery, Vol. 85, No. 1, pp. 131-134, 1990

64) A     Antihelix

Estrem S.A., Renner G.J.: Special Problems Associated with Cutaneous Carcinoma of the Ear in Facial Skin Malignancy II, Otolaryngology Clinics of North America, Vol. 26, No. 2, pp. 231-233, 1993
 
65) E     Tetracaine

Ahlstrom K.K., Frodel J.L.: Local Anesthetics for Facial Plastic Procedures in Otolaryngologic Clinics of North America, Office-Based Procedures in Facial Plastic Surgery, Saunders, Vol. 35, Number 1, pp. 34-35, 2002

http://emedicine.medscape.com/article/873879-overview

66) B     Iliac crest bone

Davis P.T., Hochman M., Funcik T.: Alveolar Cleft Bone Crafts, Facial Plastic Surgery, Vol. 9, No 3, pp.232-238, 1993

Davit III A. J., Otteson T., Losee J. E.: Comprehensive Cleft Care, Chapter 103 in
Bailey's Head & Neck Surgery Otolaryngology, (Johnson J.T., Rosen C. A., editors), Volume one, Fifth edition, Wolters Kluwer / Lippincott Williams & Wilkins, 2014,  pp.1556-1573

67) E     Glycolic acid   

Mandy S. H., Monheit G.D.: Dermabrasion and Chemical Peels Chapter 20 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Second Edition, pp. 228-230, 2002

Monheit G. D., Mandy S. H.: Dermabrasion and Chemical Peers, Chapter 25 in Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 301-320, 2009

Perkins S. W., Sandel IV J. D.: Management of Aging Skin, chapter 27 in Cummings Otolaryngology-Head & Neck Surgery, Fifth Edition, Volume one, Mosby Elsevier, 2010, pp.390-404

68) B     3%

Monhian N. Ahn M. S., Maas C. S.: Injectable and Implantable Materials for Facial Wrinkles Chapter 22 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Second Edition, p, 250, 2002

Maas C. S., Kenneth C. Y., Egan K. K.: Neuromodulators and Injectable Soft Tissue Substitutes, Chapter 28 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Third Edition, pp. 337-353, 2009

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

69) D     The Baker-Gordon formula can be refrigerated for multiple usages.
 

Mandy S. H., Monheit G.D.: Dermabrasion and Chemical Peels Chapter 20 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Second Edition, pp. 234-239, 2002

Monheit G. D., Mandy S. H.: Dermabrasion and Chemical Peels, Chapter 25 in Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 301-320, 2009

 Perkins S. W., Sandel IV J. D.: Management of Aging Skin, chapter 27 in Cummings Otolaryngology-Head & Neck Surgery, Fifth Edition, Volume one, Mosby Elsevier, 2010, pp.390-404

70) E     Tetracaine

Ahlstrom K.K., Frodel J.L.: Local Anesthetics for Facial Plastic Procedures in Otolaryngologic Clinics of North America, Office-Based Procedures in Facial Plastic Surgery, Saunders, Vol. 35, Number 1, p. 34, 2002

Fletcher M. V.: Anesthesia in Facial Plastic Surgery, Chapter 17 in Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 189-197, 2009

Lustik S. J., Newlands S. D.: Anesthesiology, Chapter 15 in Bailey's Head & Neck Surgery Otolaryngology, (Johnson J.T., Rosen C. A., editors), Volume one, Fifth edition, Wolters Kluwer / Lippincott Williams & Wilkins, 2014,  pp.235-249

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Updated:  May 1, 2017