771-780 MCQ in Facial Plastic and Reconstructive Surgery

771-780

771) Which of the following is FALSE about the flap represented in the drawing below?A. It is a serial Z-plasty.
B. It is based on a 4-flap 45 degree Z-plasty.
C. The result after completion will be a lengthening created by a 90 degree Z-plasty.
D. It is not ideal for facial surgery.
E. It is ideal for the neck surgery.

772) Which of the following medications is not approved for management of female pattern hair loss?

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

773) Which of the following statements about penetrating neck trauma is FALSE?

A. Zone I comprises the root of the neck inferior to the inferior border of the cricoid cartilage.
B. Zone II is the zone of the neck between the angle of the mandible and the inferior border of the cricoid cartilage.
C. Zone III is the zone comprising the neck superior to the angle of the mandible up to the skull.
D. Zone II is the largest zone.
E. Zone II is the least common site of entry.

774) Which of the following anatomical areas of the mandible is MOST COMMONLY ASSOCIATED with the HIGHEST incidence of infection?

A. Symphysis-Parasymphysis
B. Angle
C. Body
D. Condyle
E. Ramus

775) Which of the following operative maneuvers will DECREASE projection?

A. Lateral crural steal
B. Columellar strut
C. Lateral crural overlay
D. Septocolumellar suture
E. Tip graft

776) Which of the following anatomical areas is LESS LIKELY to develop hypertrophic scarring or keloids?

A. Central third of the face
B. Presternal area
C. Upper back
D. Shoulders
E. Neck

777) The MOST COMMON complication after reduction of a zygomatic fracture is?

A. Malar depression
B. Ectropion
C. Diplopia
D. Enophthalmos
E. Oroantral fistula

778) Which of the following rhinoplasty techniques WILL NOT improve projection?

A. Excision of the cephalic lower lateral cartilage
B. Transdomal sutures
C. Lateral cura steal
D. Columellar strut
E. Tip graft

779) Which of the following photographic parameters is MOST DIFFICULT to adjust in the documentation of a facial scar?

A. Close up
B. Exposure
C. Flash intensity
D. Velocity
E. Depth of field

780) In the execution of serial excisions what is the WAIT TIME between the first and second excision?

A. After the initial scar is healed
B. 1 months
C. 3 months
D. 8 months
E. 12 months



ANSWERS & REFERENCES


771) A     It is a serial Z-plasty.

Davidson T. M., Webster R. C.: Scar Revision, A Self-Instructional Package from the Committee on Continuing Educaltion in Otolaryngology, AAO-HNS Foundation, Incc., 1983, pp. 32-46

772) B     Finasteride

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

773) E     Zone II is the least common site of entry.

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

Stewart M. G.: Penetrating Face and Neck Trauma, Chapter 72, Head and Neck Surgery-Otolaryngology, (Bailey B.J., editor), Lippincott Williams & Wilkins, 4th Edition, 2006, pp. 1017-1026

774) B     Angle

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

775) C     Lateral crural overlay

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

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

776) A     Central third of the face

Stepnick D. W.: Facial Scars and Keloids in Current Therapy in Otolaryngology-Head and Neck Surgery, Sixth Edition, (Gates, G.A., editor), Mosby, 1998, pp.116-121

http://emedicine.medscape.com/article/876214-overview

777) A     Malar depression

Appling W. D., Stewart M. G.: Zygomatic fracture in Current Therapy in Otolaryngology-Head and Neck Surgery, Sixth Edition, (Gates, G.A., editor), Mosby, 1998, pp.116-121

778) A     Excision of the cephalic lower lateral cartilage

Adamson P. A., The Failed Rhinoplasty in Current Therapy in Otolaryngology-Head and Neck Surgery-4, (Gates, G.A., editor), Mosby, 1998, pp.137-143

779) B     Exposure

Davidson T. M., Webster R. C.: Scar Revision, A Self-Instructional Package from the Committee on Continuing Educaltion in Otolaryngology, AAO-HNS Foundation, Incc., 1983, pp. 17-20

780) C     3 months

Davidson T. M., Webster R. C.: Scar Revision, A Self-Instructional Package from the Committee on Continuing Educaltion in Otolaryngology, AAO-HNS Foundation, Incc., 1983, pp. 20-27

Kokoska M. S., Regan Thomas J.: Scar Revision, Chapter 5 in Facial Plastic and Reconstructive Surgery, (Papel I. D., Editor), Third Edition, Thieme, 2009, pp. 59-65

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Updated: June 15, 2017