671) Which of the following statements about the reconstruction of the lower eyelid defect depicted in the drawing below is FALSE?
A. The flap is a Lateral Canthal, Semicircular Flap.B. The flap is applicable to the lower eyelid only.
C. The flap will require canthotomy and cantholysis prior to musculocutaneous elevation.
D. The flap is called a Tenzel musculocutaneous flap
E. The flap is commonly complicated with retraction of the reconstructed lateral eyelid
672) Which of the following statements about Pilomatrixoma is TRUE?
A. It is a locally invasive skin neoplasm
B. It occurs more frequently on the trunk and lower extremities, rather than on the head and neck.
C. It is more common in adults than children.
D. It is treated with surgical excision.
E. It commonly has a high local recurrence rate.
673) You are consultated to see a 7-year-old girl for surgical excision of a round, ulcerated hemangioma localized in the left cheek and measuring 2.5 cm in diameter. Which of the following surgical techniques is the best for this particular patient?
A. Fusiform excision and linear closure.
B. Serial excision and linear closure.
C. Circular excision and purse string closure.
D. Fusiform excision and advancement local facial flap.
E. Circular excision and local facial flap.
674) The Radial Foream Flap has the HIGHEST INCIDENCE of which of the following complications?
A. Partial loss of donor-site skin.
B. Partial loss of donor-site skin with exposure of tendons.
C. Donor-site cold intolerance.
D. Lack of superficial Radial Nerve sensation in the donor-site
E. Poor aesthetic result in the donor-site
675) Which of the following statements about TESSIER OPERATIVE ADVANCEMENT performed in patients with craniosynostosis is FALSE?
A. Hydrocephalus should be repaired first.
B. Procedure should be done at 6 months of age.
C. It is a fronto-orbital advancement.
D. It will allow a maximal advancement of 10 mm.
E. It will not require bone grafting in the resulting gaps.
676) Which of the following structures is the one containing the HAIR MATRIX?
A. The Bulb
B. The Infundibulum
C. The Inner and Outer Root Sheath
D. The Isthmus
E. The Suprabulb
677) Which of the following flap monitors IS THE BEST TOOL for reliable detection of early problems in flap perfusion?
A. Thermal Clearance
B. Pulse Oximetry
C. Photoplethysmography
D. Laser-Doppler Velocimetry
E. Dupplex Doppler Ultrasonography
678) Which of the following anatomic structures is NOT innervated by V3?
A. The Lateral Pterygoid Muscle
B. The Mylohyoid Muscle
C. The Posterior Belly of the Digastric Muscle
D. The Tensor Veli Palatini Muscle
E. The Tensor Tympani Muscle
679) Which of the following methods for Unilateral Primary Cleft Lip Repair will concentrate the closure tension at the UPPER PORTION of the lip?
A. The Bardach
B. The Millard
C. The Skoog
D. The Tennison
E. The Randall
680) Which of the following areas is THE MOST COMMON SITE for metastasis in patients with Facial Cutaneous Melanomas treated with adequate margins of wide local excision?
A. Lymph nodes
B. Lung
C. Liver
D. Brain
E. Bone
ANSWERS & REFERENCES
671) B The flap is applicable to the lower eyelid only.
Kaltreider S. A. : Periocular Reconstruction, chapter 52 in Facial Plastic and Reconstructive Surgery, (Papel I. D., editor), Facial Plastic and Reconstructive Surgery, Second Edition, 2002, pp.646-659
Kaltreider S. A. : Periocular Reconstruction, chapter 62 in Facial Plastic and Reconstructive Surgery, (Papel I. D., editor), Facial Plastic and Reconstructive Surgery, Third Edition, 2009, pp. 855-867
Pirouzmanesh A., Reinisch J.F., Gonzalez-Gomez I., Smith E. M., Meara J.G.: Pilomatrixoma: A review of 346 Cases, Plastic and Reconstructive Surgery, Dec. 2003, Vol. 112, No. 7, pp1784-1789
673) C Circular excision and purse string closure.
Mulliken J. B., Rogers G. F., Marler J. J.: Circular Excision of Hemangioma and Purse-String Closure: The Smallest Possible Scar, April 2002, Vol. 109, No. 5, pp. 1544-1555
674) D Lack of superficial Radial Nerve sensation in the donor-site
Richardson D., Fisher S. E., Vaughan E. D., Brown J. S.: Radial Forearm Flap Donor-Site Complications and Morbidity, ”A Prospective Study, Plastic and Reconstructive Surgery, January 1997, Vol. 99, no.1, pp.109-115
675) D It will allow a maximal advancement of 10 mm.
Katzen J. T., McCarthy J. G.: Syndromes involving craniosynostosis and midface hypoplasia, Syndromic and other congenital anamalies of the Head and Neck, Otolaryngologic Clinics of North America, Vol. 33, No. 6, December 2000, pp.1257-1284
676) A The Bulb
Bennett R. G.: Anatomy and Physiology of the Skin, Chapter 1, in Facial Plastic and Reconstructive Surgery, (Papel I. D., editor), Thieme, Third Edition, 2009, pp. 3-14
http://emedicine.medscape.com/article/835470-overview
677) D Laser-Doppler Velocimetry
Stepnick D. W., Hayden R. E.: Postoperative Monitoring and Salvage of Microvascular Free Flaps, Reconstruction of the Mandible and Oropharynx, Otolaryngologic Clinics of North America, Vol. 27, N0. 6, Dec. 1994, pp.1201-1217
Graney D. O., Baker S. R.: Anatomy, Chapter 18, in Otolaryngology-Head and Neck Surgery (Cummings, Fredrikson, Harker, Krause, Schuller, editors), Vol. 1, Second Edition, 1993, pp. 305-314
Schuller D. E., Krause C. J.: Cleft Lip and Palate, A Self-Instructional Package from the Committee on Continuing Education in Otolaryngology, AAOHNS Foundation, Inc., 1983, pp27-37
680) A Lymph nodes
Wagner J.D., Gordon M.S., Chuang T, Coleman III J.J. : Current Therapy of Cutaneous Melanoma,Plastic and Reconstructive Surgery, April 2000, Vol. 105, No. 5, pp.1774-1799
Hendrix J. D.: Jr., Slingluff C. L.: Cutaneous Malingnancies: Diagnosis and Treatment, Chapter 42 in Facial Plastic Reconstructive Surgery, (Papel, I, edidor), Second Edition, 2002, pp. 493-500
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Updated: June 15, 2017
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