691) Which of the following arteries is the one represented in the drawing below?
A. Occipital ArteryB. Paravertebral Perforators Arteries
C. Transverse Cervical Artery
D. Dorsal Scapular Artery
E. Suprascapular Artery
692) After completion of a forehead lift, blepharoplasty and rhytidectomy, with general anesthesia, a 45 year old female patient is agitated, uncooperative and not understanding or responding to verbal commands. Which of the following is the PROBABLE CAUSE?
A. Anxiety disorder
B. Allergic reaction
C. Hypoxia
D. Severe pain
E. Acute bleeding under the face lift flaps
693) Which of the following nerves is a terminal branch of the EXTERNAL NASAL NERVE?
A. The Anterior Ethmoidal Nerve
B. The Posterior Ethmoidal Nerve
C. The Supratrochear Nerve
D. The Supraorbital Nerve
E. The Nasociliary Nerve
694) Which of the following anatomical areas is the "danger zone" of the temporal branch for the facial nerve as it passes over the zygomatic arch?
A. The region between 0.5 cm anterior to the helical root and 0.5 cm posterior to the anterior end of the zygomatic arch.
B. The region between 1.5 cm anterior to the helical root and 1 cm posterior to the anterior end of the zygomatic arch.
C. The region between 1.5 cm anterior to the helical root and 1.5 cm posterior to the anterior end of the zygomatic arch.
D. The region between 1.8 cm anterior to the helical root and 2 cm posterior to the anterior end of the zygomatic arch.
E. The region between 2.5 cm anterior to the helical root and 3 cm posterior to the anterior end of the zygomatic arch.
695) Which of the following is THE BEST IMPLANT for use in an augmentation rhinoplasty which is performed to correct a severe nasal dorsum defect?
A. Autogenous sixth rib bone
B. Autogenous seventh rib bone
C. Autogenous calvarial bone
D. Autogenous Ileac bone
E. Homografts of irradiated rib cartilage
696) Which of the following statements about the hair growth cicle is TRUE?
A. The growth is 90% of hairs in the anagen phase and 10 % in the telogen phase
B. The growth is 80% of hairs in the anagen phase and 20 % in the telogen phase
C. The growth is 70% of hairs in the anagen phase and 30 % in the telogen phase
D. The growth is 60% of hairs in the anagen phase and 40 % in the telogen phase
E. The growth is 50% of hairs in the anagen phase and 50 % in the telogen phase
697) Which of the following statements about the dynamics of rhinoplasty is FALSE?
A. Reduction of the nasion will make the nose longer.
B. Dorsum augmentation will result in a nose that appears narrower.
C. Reduction of the nasal spine will create the illusion of reduction in the columella-labial angle.
D. Resection of the caudal septum based anteriorly will rotate the tip cephalically.
E. Resection of the cephalic portion of the lower lateral cartilage will result in significant increase in tip projection.
698) Which of the following tissues SHOULD NOT BE USED in the lower eyelid Madame Butterfly Procedure?
A. Alloderm
B. Autogenous Split Thickness Skin Graft
C. Autogenous Hard Palate Graft
D. Autogenous Septal mucosa with cartilage graft
E. Autogenous Tensor Fascia Lata Graft
699) Which of the following signs or symnptoms raises EARLY SUSPICION OF MELANOMA in an adquired nevus?
A. Pruritus
B. Asymmetry
C. Bleeding
D. Change of color
E. Elevated area in a previously flat nevus
700) Which of the following statements about the Lower Trapezius Island Musculocutaneous Flap is TRUE?
A. It is a large flap but the arc of rotation is limited.
B. It is supplied by the occipital artery and the posterior intercostal vessels.
C. An arteriogram to evaluate vascular patency is mandatory prior to its execution.
D. It is used for the lateral skull, anterior and lateral neck and oral cavity and face.
E. Usually skin grafting or a local flap is necessary for closing the donor site.
ANSWERS & REFERENCES
691) C Transverse Cervical Artery
Annino D. J. Jr. , Shu R. S., Gold D. R.: Musculocutaneous Flaps, Chapter 46 in Facial Plastic and Reconstructive Surgery, (Papel I. D., editor), Facial Plastic and Reconstructive Surgery, Second Edition, 2002, pp. 560-566
692) C Hypoxia
Courtiss E. H., Kanter M. A.: The Prevention and Management of Medical Problems During Office Surgery, Plastic and Reconstructive, January 1990, Vol. 85, No.1, pp.127-136
693) A The Anterior Ethmoidal Nerve
Graney D. O., Baker S. R.: Anatomy, Chapter 18, in in Otolaryngology-Head and Neck Surgery, (Cummings, Fredrickson, Harker, Krause, Schuller, editors), Third Edition, Volume 1, 1993, pp. 305-314
694) D The region between 1.8 cm anterior to the helical root and 2 cm posterior to the anterior end of the zygomatic arch.
Weinberger M. S., Becker D. G., Toriumi D. M.: Rhytidectomy, Chapter 33 in Otolaryngology-Head and Neck Surgery, (Cummings, Fredrickson, Harker, Krause, Richardson, Schuller, editors), Third Edition, Volume 1, 1998, pp.648-659
695) C Autogenous calvarial bone
Romo III T., MacLaughlin L. A., Levine J. M., Sclafani A. P.: Nasal Implants:autogenous, semisynthetic and synthetic, Facial Plastic Surgery Clinics of North America, New Horizons in Facial Plastic Surgery, Sclafqni A. P., and Sabini P., editors), May 2002, Vol. 10, No. 2, pp. 155-166
697) E Resection of the cephalic portion of the lower lateral cartilage will result in significant increase in tip projection.
Guyuron B.: Dynamics in Rhinoplasty, Plastic and Reconstructive Surgery, May 2000, Vol. 105, No. 6, pp.2257-2259
698) B Autogenous Split Thickness Skin Graft
Li T. G. , Shorr N., Goldberg R.A: Comparison of Efficacy of Hard Palate Grafts with Acellular Human Dermis Grafts in Lower Eyelid Surgery, Plastic and Reconstructive Surgery, Nov. 2005, Vol.116, No.6, pp. 1771-1775
Codner M.A.: Comparison of the Efficacy of Hard Palate Grafts with Acellular Human Dermis Grafts in Lower Eyelid Surgery, Discussion, Sept 2005, Vol. 116, No. 3, pp.879-880
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
700) D It is used for the lateral skull, anterior and lateral neck and oral cavity and face.
Urken M.L, Naidu R. K., Lawson W., Biller H.F.: The Lower Trapezius Island Musculocutaneous Flap Revisited, Report of 45 Cases and a Unifying Concept of the Vascular Supply, Arch. Otolaryngology Head Neck Surgery, Vol. 117, May 1991, pp.502-511
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Updated: June 15, 2017
Updated: June 15, 2017
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