Saturday, February 27, 2010

751-760 MCQ in Facial Plastic and Reconstructive Surgery

751-760

751) The drawing represents the reconstruction repair of a left upper eyelid defect. Which of the following techniques IS REPRESENTED in the picture below? A. Tenzel semicircular flap
B. Mustardé lid repair
C. Cutler-Beard lid repair
D. Hughes flap repair
E. Butterfly flap repair

752) Which of the following medications is used for the INITIAL management of female pattern hair loss?

A. Minoxidil
B. Finasteride
C. Nioxin
D. Nizoral
E. Zinc

753) Which is of the following statements about the Mestizo nose is FALSE?

A. The radix is low.
B. The dorsum is slightly concave.
C. The columella is short.
D. The projection is low.
E. The tip is rotated caudally.

754) Which of the following muscles arises from the medial end of the orbit (nasal prominence) and runs superiorly and laterally to insert into the deep surface of the skin?

A. Procerus
B. Corrugator
C. Frontalis
D. Depressor supercillii
E. Orbicularis

755) Which of the following conditions is NOT A CONTRAINDICATION for the use of botulinum toxin type A?

A. Eaton-Lambert syndrome
B. Myastenia gravis
C. Psoriasis
D. Motor neuron disease
E. Multiple sclerosis

756) Which of the following is a CONTRAINDICATION for use of the Lateral Crura Overlay Tip Technique?

A. Acute nasalabial angle associated with tip ptosis
B. Long nose and tip ptosis
C. Overprojection associated with tip ptosis
D. Underprojection associated with tip ptosis
E. Long, inferiorly oriented lateral crura.with tip ptosis

757) Which of the following surgical maneuvers is NOT related to the repair of a Unilateral Cleft Lip-Nasal Deformity?

A. Forked flap incisions in the upper lip
B. Asymmetric vertical division of the lower lateral cartilages (LLC)
C. Suture reconstitution of the lower lateral cartilages
D. Placement sutures into the cephalic margin of the cleft side alar cartilage and the upper lateral cartilage
E. Nasal tip grafting

758) Which of the following is NOT RELATED to the aging nose?

A. Increased length
B. Columellar shortening
C. Dorsal concavity
D. Tip drop
E. Subcutaneous fat atrophy

759) Which of the following cells plays a KEY ROLE in the coagulation phase of wound healing?

A. Platelets
B. Neutrophils
C. Lymphocytes
D. Macrophages
E. Blood red cells

760) Which of the following statements regarding irradiated rib homograft cartilage is FALSE?

A. It is costal cartilage that has been harvested from cadaveric donors.
B. The cartilage is sterilized by exposue to 30.000 Gy.
C. Before using the implant it should be soaked in gentamicin sulfate solution.
D. It is easily carved.
E. It is less resistant to infection than most alloplasts.


ANSWERS & REFERENCES


751) C     Cutler-Beard lid repair

Jewtt B. S., Shockley W. W.: Reconstructive Options for Periocular Defects, Management of Facial Cutaneous Defects Part I, Otolaryngologic Clinics of North America, Vol. 34 No. 3, June 2001, pp.601-625

Kaltreider S. A.: Periocular Reconstruction, chapter 62 in  Facial Plastic and Reconstructive Surgery, (Papel I.D., editor), Third Edition, Thieme, 2009, 855-867

752) A     Minoxidil

Epstein J. S.: The treatment of female pattern hair loss and other applications of surgical hair restoration in women, Facial Plastic Surgery Clinic of North America, (Epstein J. S., editor), Elsevier Saunders, Vol. 12, No. 2, , pp. 241-247, 2004

753) B     The dorsum is slightly concave.

Monasterio F. O., Orsini R.: Surgery of the Non-Indo-European Face, Rhinoplasty: Current Concepts (Guyuron B. Guest Editor), Clinics in Plastic Surgery, Vol. 23, No. 2, April 1996, pp. 341-356

754) B     Corrugator

Bassichis B. A., Thomas J.R: The use of Botox to treat glabellar rhytids, (Dayan S. H., Guest Editor), Facial Plastic Surgery Clinics of NorthAmerica, Vol. 11, N0. 4, 2003, pp. 453-456

755) C     Psoriasis

Vartanian A.J., Dayan S. H.: Complications of Botulinum Toxin A use in Facial Rejuvenation, Seminal Review Issue (Thomas J. R., Guest Editor), Facial Plastic Surgery Clinics of Noth America, Vol. 13, No. 1, February 2005, pp. 1-10

756) D     Underprojection associated with tip ptosis

Konior R. J., Kridel R. W. H.: Controlled Nasal Tip Positioning Via the Open Rhinoplasty Approach, Open Rhinioplasty, (Toriumi D. M., Guest Editor), Facial Plastic Surgery Clinics of North America, Vol. 1 No. 1, August 1993, pp.53-62

757) A     Forked flap incisions in the upper lip

Sykes J. M., Senders C. W., Wang T. D., Cook T. A.: The Use of Open Approach for Repair of Secondary Cleft Lip-Nasal Deformities, Open Rhinioplasty, (Toriumi D. M., Guest Editor), Facial Plastic Surgery Clinics of North America, Vol. 1 No. 1, August 1993, pp.111-126

758) C     Dorsal concavity

Rohirch R. J., Hollier L. H.: Rhinoplasty with Advancing Age, Special Articles, Rhinoplasty and Septoplasty, Part II (Park S. P., Holt G. R., Guest Editors), The Otolaryngologic Clinics of North America, August 1999, pp. 755-772

759) A     Platelets

Terris D.J.: Dynamic of Wound Healing, Chapter 16, Head and Neck Surgery-Otolaryngology, (Bailey B.J., editor), Lippincott Williams & Wilkins, Third Edition, Volume One, 2001, pp. 175-187

760) E     It is less resistant to infection than most alloplasts.

Kridel R. W. H., Kraus W. M.: Grafts and Implants in Revision Rhinoplasty, Revision Rhinoplasty, (Kridel R. W. H., editor), Saunders, Facial Plastic Surgery Clinics of North America, Vol. 3, No. 4, November 1995, pp. 473-486


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Updated: June 15, 2017



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