761) The drawing below represents the right bony orbit seen from a 1/3 lateral view. What is the bony anatomical structure indicated by the arrow?
A. MaxillaB. Greater wing of the sphenoid
C. Lesser wing of the sphenoid
D. Zygomatic bone
E. Frontal bone
762) Which of the following subjects of facial photography is ideal for the use of a RING FLASH UNIT?
A. Otoplasty
B. Rhinoplasty
C. Facelift
D. Intraoral techniques
E. Scars revisions views
763) Which of the following radiographic views is the SINGLE BEST for evaluation of mandibular fractures?
A. Lateral oblique view
B. Antero-posterior view
C. Towne’s view
D. Panorex view
E. Computed tomography
764) Which of the following statements about penetrating neck wounds is FALSE?
A. All neck injuries in Zones I, II and III that penetrate the platysma should be explored.
B. Symptomatic patients with penetrating neck injuries to Zone III require angiography prior to neck exploration.
C. Asymptomatic patients with penetrating neck injuries to Zone I require angiography prior to neck exploration.
D. Penetrating neck injuries to Zones I and III in both asymptomatic or symptomatic patients require routine angiography.
E. Angiography is not necessary for any penetrating neck injury to Zone II.
765) Which of the following surgical techniques is the IDEAL for repair of a cleft lip greater than 12 mm wide?
A. Millard’s repair
B. Triangular repair
C. Rose-Thompson repair
D. Quadrilateral repair
E. Mirault-Brown-McDowell repair
766) Which of the following statements about Trap-Door deformity is FALSE?
A. It is a bulging elevation of the skin with a surrounding depressed scar
B. It is usually seen after C, U or V-shaped transposition flaps
C. Prevention can be achieved with wide undermining of the surrounding skin
D. Early cases can be treated with intralesional 1 ml triamcinolone acetonide (40 mg/ml) injections
E. Multiple Running W-plasty can correct this deformity.
767) Which of the following statements about Le Fort Fractures is FALSE?
A. Le Fort I fracture is a horizontal fracture between the maxilla and palate/alveolar arch complex
B. Le Fort II fracture is the most common Le Fort fracture pattern
C. Serious concomitant intracranial injury is common
D. Serious concomitant ophthalmologic injury is also common
E. MRI with contrast is the examination of choice for evaluation of these fractures
768) Which of the following statements about a “SHORT NOSE” is FALSE?
A. There is decreased distance from the nasion to the tip defining point.
B. There is a low ratio of tip projection to nasal length.
C. There is a nasolabial angle greater than expected.
D. There is a overprojection of nasal tip.
E. There is overrotation of nasal tip.
769) Which of following regions of the auricle should remain after ear resection , if oncologically feasible, from the prosthetic point of view?
A. Upper portion of the auricle
B. Lower portion of the auricle
C. Concha
D. Lobule
E. Tragus
770) Which is of the following statements about surgical objectives in the management of a Mestizo nose is FALSE?
A. Underesection of the dorsal hump is advisable.
B. Septal cartilage graft is used to increase projection of the tip.
C. The radix can be elevated with a cartilage graft.
D. Wide resection of the upper edge of the lateral crura will achieve adequate tip rotation.
E. Percutaneous 2-mm osteotomies can be used to narrow the nasal pyramid.
ANSWERS & REFERENCES
761) B Greater wing of the sphenoid
Hollinshead W. H: Anatomy for Surgeons, Volume 1
762) D Intraoral techniques
Tardy Jr. M. E., Dayan S., Hecht D.: Preoperative Rhinoplasty, Evalualtion and Analysis, Office-Based Procedures in Facial Plastic Surgery (Porter J. P. P., Guest Editor), Otolaryngologic Clinics of North America, Vol. 35 No. 1, Februrary 2002, pp.1-27
763) D Panorex view
Leach J.L., Newcomer M. T.: Mandibular Fractures, Chapter 65, Head and Neck Surgery-Otolaryngology, (Bailey B.J., editor), Lippincott Williams & Wilkins, Third Edition, Volume One, 2001, pp. 765-774
764) A All neck injuries in Zones I, II and III that penetrate the platysma should be explored.
Stewart M. G.: Penetrating Face and Neck Trauma, Chapter 68, Head and Neck Surgery-Otolaryngology, (Bailey B.J., editor), Lippincott Williams & Wilkins, Third Edition, Volume One, 2001, pp. 814-821
765) B Triangular repair
Stal S., Klebuc M., Taylor T. D., Spira M., Edwards M.: Algorithms for the Treatment of Cleft Lip and Palate, Common Pediatric Plastic and Reconstruction Diagnosis (Stal S., Friedman J., Guest Editors), Clinics in Plastic Surgery, Vol. 25, No. 4, October 1998, pp.493-507
766) E Multiple Running W-plasty can correct this deformity.
Vural E., Key J. M.: Complications, Salvage, and Enhancement of Local Flaps in Facial Reconstruction, Management of Facial Cutaneous Defects, Part II, Otolaryngologic Clinics of North America, (Park S. S. , Guest editors), Vol. 34 No. 4, August 2001, pp.739-751
767) E MRI with contrast is the examination of choice for evaluation of these fractures.
Doerr T. D., Mathog R. H.:Le Fort Fractures (Maxillary Fractures): Chapter 60, Facial Plastic and Reconstructive Surgery,(Papel I. D., editor), Second Editon, Thieme, Second Edition, 2002, pp. 759-768
Doerr T. D., Mathog R. H.:Le Fort Fractures (Maxillary Fractures): Chapter 71, Facial Plastic and Reconstructive Surgery,(Papel I. D., editor), Second Editon, Thieme, Third Edition, 2009, pp. 9911-1000
Dyer II W. K., Beaty M, M. Prabhat A.: Architectural Deficiencies of the Nose, Treatment of the Saddle Nose and Short Nose Deformities, Rhinoplasty and Septoplasty I, Otolaryngologic Clinics of North America, (Park S. S., Holt G. R. , Guest editors), Vol. 32 No. 1, February 1999, pp.89-112
http://emedicine.medscape.com/article/840066-overview
769) E Tragus
Lemon J. C., Chambers M. S., Martin J. W.: Prosthetic Rehabilitation of Patients with Advanced Nonmelanoma Skin Cancer, Clinics in Plastic Surgery (Schusterman M.A, Guest Editor), Vol. 24 No. 4, October 1997, pp. 797-815
770) D Wide resection of the upper edge of the lateral crura will achieve adequate tip rotation.
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
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Updated: June 25, 2017
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