731) Which of the following deformities will be corrected by the use of a Composite Skin-Cartilage Graft placed into the pocket shown in the picture?
A. Alar Margin RetractionB. Bossa formation
C. Alar pinching with tip narrowing
D. Alar Stenosis
E. Lateral Crural irregularities
732) Which of the following anesthesia regimens is adequate in facial Er: YAG Laser Skin Resurfacing?
A. Regional nerve block with 0.25% bupivacaine plus 1:200.000 epinephrine
B. Regional nerve block with 1% lidocaine plus 1:100.000 epinephrine
C. Regional nerve block with 2% lidocaine plus 2:100.000 epinephrine
D. EMLA cream applied 2 hours prior to the surgical procedure
E. Lorazepam ((Ativan) 1 mg by mouth on arrival and no subsequent anesthesia
733) Which of the following statements about Merkel Cell Carcinoma is TRUE?
A. Shaving or curetage is the most commonly used treatment.
B. Local recurrence is low, approximately 2%.
C. Wide local excision is used for recurrence only
D. It is resistent to Chemotherapeutic Agents
E. It is a radiosensitive tumor
734) Which of the following types of Saddle Nose Deformity is related to "moderate depression of the Dorsal Septum and Upper Lateral Cartilage with Nasal Valve Collapse"?
A. Type 1
B. Type 2
C. Type 3
D. Type 4
E. Type 5
735) Which of the following statements is FALSE about surgical correction of a Deviated Septum?
A. The Killian-type Incision is ideal for Posterior Septal Deviation.
B. Killian-type and Hemitransfixion Incisions are best performed on the concave side of the septal deviation.
C. The Hemitransfixion Incision is ideal for Caudal Septal Deviation.
D. The Hemitransfixion Incision will not affect significantly the nasal tip support.
E. The Killian-type Incision will affect significantly the nasal tip support.
736) Which of the following etiologies is MOST COMMONLY associated with External Nasal Valve Dysfuntion.?
A. Congenital
B. Traumatic
C. Iatrogenic
D. Pharmacological
E. Senescent (Aging)
737) Which of the following minor nasal tip support mechanisms has been recently considered a CRITICAL AND A MAJOR support mechanism?
A. Intercrural Ligament
B. Cartilaginous Septal Dorsum
C. Nasal Spine
D. Membranous Septum
E. Alar Cartilages attachment to overlying skin and musculature
738) Which of the following muscles used in Facial Reanimation is innervated by the Thoracodorsal Nerve and supplied by the Throacodorsal Artery?
A. Pectoralis Major
B. Pectoralis Minor
C. Latissimus Dorsi
D. Serratus Anterior
E. Rectus Abdominis
739) Which of the following etiologies is MOST COMMON in twisted noses?
A. Trauma
B. Iatrogenic
C. Pharmacological
D. Inflammatory
E. Congenital
740) Which of the following surgical techniques is the MOST efffective in opening the Internal Nasal Valve?
A. Spreader grafts
B. Flaring sutures
C. Splay grafts
D. Butterfly grafts
E. Batten grafts
ANSWERS & REFERENCES
731) A Alar Margin Retraction
Perkins S. W., Tardy Jr. M.E.: External Columellar Incisional Approach to Revision of the Lower Third of the Nose, Open Rhinioplasty, (Toriumi D. M., Guest Editor), Facial Plastic Surgery Clinics of North America, Vol. 1 No. 1, August 1993, pp.79-98
Becker D. G.: Complications of Rhinoplasty, Chapter 39 in Facial Plastic and Reconstructive Surgery, (Papel I. D., Editor), Second Edition, Thieme, 2002, pp. 452-460
732) D EMLA cream applied 2 hours prior to the surgical procedure.
Koch R. J.: Laser Skin Resurfacing, Minimally Invasive Surgery, (Koch R. J., editor), Facial Plastic Surgery Clinics of North America, Vol. 9, No. 3, August 2001, pp.329-336
733) E It is a radiosensitive tumor.
Brodland D. G.: The treatment of Merkel Cell Carcinoma with Mohs Micrographic Surgery, Advances in Mohs Surgery, (Dzubow L. M., editor), Facial Plastic Surgery Clinics of North America, Vol. 6, No. 3, August 1998, pp. 329-335
734) B Type 2
Alsarraf R, Murakami CS: The saddle nose deformity, Functional Reconstructive Rhinoplasty, (Murakami C. S., editor), Facial Plastic Surgery Clinics of North America, Vol. 7, No. 3, August 1999, pp. 303-310
http://emedicine.medscape.com/article/840910-overview
735) E The Killian-type Incision will affect significantly the nasal tip support.
Ducic Y., Hilger P. A.: Surgical Correction of the Deviated Septum, Functional Reconstructive Rhinoplasty, (Murakami C. S., editor), Facial Plastic Surgery Clinics of North America, Vol. 7, No. 3, August 1999, pp. 319-331
736) C Iatrogenic
Chand M. S., Toriumi D. M.: Treatment of the External Nasal Valve, Functional Reconstructive Rhinoplasty, (Murakami C. S., editor), Facial Plastic Surgery Clinics of North America, Vol. 7, No. 3, August 1999, pp. 347-355
737) E Alar Cartilages attachment to overlying skin and musculature.
Dyer II W. K.: Nasal Tip Support and its Surgical Modification, (Perkins S. W, , editor), Facial Plastic Surgery Clinics of North America, Vol. 12, No. 1, February 2004, pp. 1-13
Clark J. M., Shockley W. W. : Management and Reanimation of the Paralyzed Face, Chapter 63, Facial Plastic and Reconstructive Surgery,(Papel I. D., editor), Third Edition, Thieme, Third Edition,, 2009, pp. 869-895
739) A Trauma
TerKonda R. P. Sykes J. M: Repairing the Twisted Nose, Rhinoplasty and Septoplasty I, Otolaryngologic Clinics of North America, (Park S. S., Holt G. R. , Guest editors), Vol. 32 No. 1, February 1999, pp.53-64
Chand M. S., Toriumi D. M.: Treatment of the External Nasal Valve, Functional Reconstructive Rhinoplasty, (Murakami C. S., editor), Facial Plastic Surgery Clinics of North America, Vol. 7, No. 3, August 1999, pp. 347-355
---------------------------------------
Updated: June 15, 2017
No comments:
Post a Comment