Wednesday, March 3, 2010

711-720 MCQ in Facial Plastic and Reconstructive Surgery

711-720

711) Which of the following ear structures in the drawing below will be modified by the represented tissue excision?

A. Lobule
B. Inferior aspect of the concha
C. Inferior aspect of the helix
D. Inferior aspect of the antihelix
E. Tragus

712) Which of the following statements about botulinum toxin is TRUE?

A. There are 5 different serotypes of botulinum toxin.
B. One unit of botulinum toxin A is defined as the necessary amount to kill approximately 90-100% of a group of 20 g. female Swiss-Webster mice.
C. Zinc has a critical role in the chemical reaction of botulinum toxin.
D. 1 unit of Botox is equivalent to approximately 1 unit of Dysport.
E. Botulinum toxin after reconstitution with saline maintains its clinical efficacy for at least 6 months.

713) Which of the following statements about Botox induced Eyelid Ptosis is FALSE?

A. It usually occurs 12 hours after initial injection.
B. Direct digital pressure can be used to prevent the diffusion of the toxin toward the eye.
C. Eyelid ptosis occurs due to diffusion of the Botox into the levator palpebrae superioris muscle.
D. Apraclonide 0.5% opthtalmic eye drops can be used for treatment.
E. Ophthalmic eye drops can achieve a 2 mm lid elevation.

714) Which of the following statements about the identification of potentially unstable and disruptive facial plastic surgery candidates is FALSE?

A. In general, 75% of unstable patients are men
B. Younger patients are more prone to behave aggressively
C. Male cosmetic rhinoplasty patients are likely at increased risk of unstable behavior.
D. Abuse of alcohol potentiates the risk of instability.
E. Internal motivation for surgery carries a higher risk for disruptive behavior than external motivation.

715) Which of the following factors is THE MOST important regarding Hair Replacement Surgery?

A. Hair density
B. Hair thickness
C. Hair color
D. Skin color
E. Hair direction

716) Which of the following patterns of scalp reduction is the IDEAL for use in Hair Replacement surgery?

A. S-shape pattern of excision.
B. Saggital midline ellipse pattern of excision.
C. Y-shaped pattern of excision.
D. U-shaped pattern.
E. Pattern tailored to the individual patient.

717) In which of the following areas will the "halo effect" complication occur after Hair Replacement Surgery?

A. Frontal
B. Vertex
C. Occipital
D. Temporal
E. Postauricular

718) Which of the following statements about tissue expansion in Hair Replacement Surgery is FALSE?

A. Scalp expansion creates a larger hair-bearing surface area.
B. Scalp expansion does not produce additional hair follicles.
C. Hair density decreases after scalp reduction.
D. Tissue expansion does not affect hair follicle morphology.
E. Scalp expansion will be of most benefit in patients with Norwood class VII.

719) In Expansion Surgery the ideal ratio of expander BASE TO SIZE of defect should be which of the following?

A. 1:1
B. 2:1
C. 3:1
D. 4:1
E. 5:1

720) Which of the following statements about the Juri flap is FALSE?

A. It is 25 cm long
B. It is 4 cm wide
C. It will span the entire frontal hairline
D. The donor area wound closure is often difficult to achieve
E. Dog ear formation is rarely found



ANSWERS & REFERENCES



711) A     Lobule

Siegert R.: Correction of the Lobule, Otoplasty, Facial Plastic Surgery, Vol. 20, No. 4, November 2004, pp. 294-297

712) C     Zinc has a critical role in the chemical reaction of botulinum toxin.

Lam S.M.: The basic science of botulinum toxin, Botox, ( Dayan S.H., Guest Editor), Facial Plastic Surgery Clinics of NorthAmerica, November 2003, pp.431-438

713) A     It usually occurs 12 hours after initial injection.

Vartanian A.J., Dayan S. H.: Complications of botulinum toxin A use in facial rejuvenation, Botox, Facial Plastic Surgery Clinics of NorthAmerica, (Dayan S. H., Guest Editor), Vol. 11. No. 4, November 2003, pp. 483-492

714) E     Internal motivation for surgery carries a higher risk for disruptive behavior than external motivation.

Powell D., Hobgood T.: Detection and Management of the unstable patient, Aesthetic Analysis, (Tardy M. E., editor), Facial Plastic Surgery Clinics of North America, Vol. 11, No. 3, August. 2003, pp. 307-318

715) A     Hair density

Stough D. B., Pomerantz M.A.: The Donor Area, Hair Replacement Surgery (Konior R.J. & Rousso D.E., editors) , Facial Plastic Surgery Clinics of North America, May 1994, Vol.2, No.2, pp.139-148

716) E     Pattern tailored to the individual patient.

Unger M. G.: Scalp Reduction, Hair Replacement Surgery (Konior R.J. & Rousso D.E., editors) , Facial Plastic Surgery Clinics of North America, May 1994, Vol.2, No.2, pp.163-180

717) B     Vertex

Stough III D. B., Randall J. K., Schauder C. S.: Complications in Hair Replacement Surgery, Hair Replacement Surgery (Konior R.J. & Rousso D.E., editors) , Facial Plastic Surgery Clinics of North America, May 1994, Vol.2, No.2, pp.219-229

718) E     Scalp expansion will be of most benefit in patients with Norwood class VII.

Konior R. J., Kridel R. W. H.: Tissue Expansion in Scalp Surgery, Hair Replacement Surgery (Konior R.J. & Rousso D.E., editors) , Facial Plastic Surgery Clinics of North America, May 1994, Vol.2, No.2, pp.203-217

719) C     3:1

Konior R. J., Kridel R. W. H.: Tissue Expansion in Scalp Surgery, Hair Replacement Surgery (Konior R.J. & Rousso D.E., editors) , Facial Plastic Surgery Clinics of North America, May 1994, Vol.2, No.2, pp.203-217

720) E     Dog ear formation is rarely found

Rousso D. E.: The use of scalp flaps for frontal alopecia, Hair Replacement Surgery (Konior R.J. & Rousso D.E., editors) , Facial Plastic Surgery Clinics of North America, May 1994, Vol.2, No.2, pp. 183-202

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Updated: June 15, 2017

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