791-800 MCQ in Facial Plastic and Reconstructive Surgery

791-800

791) Which of the following eyelid types is represented in the drawing below?

A. The Caucasian
B. The African American
C. The Asian
D. The Latino
E. The Middle-Eastern

792) Which of the following eyelid anatomical structures does NOT function as a "retractor"?

A. Levator aponeurosis
B. Muller’s muscle
C. Capsulopalpebral fascia
D. Inferior tarsal muscle
E. Whitnall’s ligament

793) Which of the following transposition-grafting is MOST COMMOMLY used in facial nerve paralysis rehabilitation?

A. Hypoglossal-Facial
B. Spinal Accessory-Facial
C. Glossopharyngeal -Facial
D. Phrenic-Facial
E. Ansa hypoglossi-Facial

794) The five year cure rate for Primary Basal Cell Carcinoma after Mohs Micrographic Surgery is reached by which percentage of patients?

A. 80%
B. 85%
C. 90%
D. 95%
E. 99%

795) For each specimen, what is the percentage of lateral and deep margins that can be checked using the Horizontal Sectioning Technique in Mohs Surgery?

A. 95%
B. 96%
C. 97%
D. 99%
E. 100%

796) Which of the following flaps is a TRANSPOSITION flap?

A. Paramedian forehead flap
B. Melolabial flap
C. Limberg flap
D. O-T flap
E. V-Y flap

797) Which of the following statements about the Coronal/Hairline Forehead Lift is FALSE?

A. It can not be applied to male patients with male-pattern baldness.
B. Subperiosteal plane dissection is used.
C. Scoring-resection of frontal and corrugator muscles is done.
D. Numbness in the forehead flap and beyond the incision line occurs.
E. There is a potential for stretch-back with recurrent brow ptosis.

798) Which of the following measurements represents NORMAL levator function?

A. 5 mm
B. 10 mm
C. 15 mm
D. 20 mm
E. 25 mm

799) Which of the following surgical techniques is the BEST for repairing injury to the upper or lower eyelid involving a 25% of tissue loss?

A. Primary closure associated with Lateral Canthotomy /Lateral Cantholysis
B. Semicircular Rotation-Advancement Flap (Tenzel)
C. Pedicled Lid Switch Flap (Mustarde)
D. Bridge Flap (Cutler-Beard)
E. Tarsoconjuntival Flap (Hughes)

800) An unrecognized laceration to the Levator Aponeurosis of the upper eyelid will result in

A. Lagopthalmus
B. Ectropion
C. Entropion
D. Ptosis
E. Mild scleral show


ANSWERS & REFERENCES


791) C     The Asian

Choi A. K.: Oriental Blepharoplasty: Nonincisional Suture Technique versus Conventional Incisional Technique, Facial Plastic Surgery, Vol. 10 No. 1, January 1994, pp. 67-83

McCurdy Jr. J. A.: Cosmetic Surgery of the Asian Face, Chapter 35 in Facial Plastic and Reconstructive Surgery (Papel I, editor), Third edition, 2009, pp. 435-458

792) E     Whitnall’s ligament

Sykes J. M., Dugan F. M. Jr.: Evaluation and Management of Eyelid Trauma, Facial Plastic Surgery, Vol. 10, No. 1, April 1994, pp. 157-171

793) A     Hypoglossal-Facial

Fucci M. J., Buchman C. A., Slattery III W. H.:Neurorrhaphy Techniques for Facial Paralysis, Rehabilitation of Facial Paralysis (Shindo M. L, Guest Editor), Facial Plastic Surgery Clinics of North America, Vol. 5 No. 3, August 1997, pp. 223-240

Clark J. M., Shockley W. W.: Management of the Paralyzed Face, Chapter 63, Facial Plastic and Reconstructive Surgery, (Papel I.D., editor), Third Edition, 2009, pp. 869-894

794) E     99%

Lang Jr. P. G.: Mohs Micrographic Surgery for Basal Cell Carcinoma, Facial Plastic Surgery Clinics of North America, (Dzubow L. M., Guest Editor), Facial Plastic Surgery Clinics of North America, Vol. 6 No. 3, August 1998, pp. 275-295

Hendrix Jr. J. D., Slingluff C. L.: Diagnosis and Treatment of Cutaneous Malignancies, Chapter 52, Facial Plastic and Reconstructive Surgery, (Papel I.D., editor), Third Edition, 2009, pp. 675-702

795) E     100%

Lang Jr. P. G.: Mohs Micrographic Surgery for Basal Cell Carcinoma, Facial Plastic Surgery Clinics of North America, (Dzubow L. M., Guest Editor), Facial Plastic Surgery Clinics of North America, Vol. 6 No. 3, August 1998, pp. 275-295

Hendrix Jr. J. D., Slingluff C. L.: Diagnosis and Treatment of Cutaneous Malignancies, Chapter 52, Facial Plastic and Reconstructive Surgery, (Papel I.D., editor), Third Edition, 2009, pp. 675-702

796) C     Limberg flap

Park S. S.: Local and Regional Cutaneous Flaps, Chapter 44 in Facial Plastic and Reconstructive Surgery (Papel I, editor), second edition, 2002, pp. 528-548

Park S. S.: Local and Regional Cutaneous Flaps, Chapter 54 in Facial Plastic and Reconstructive Surgery (Papel I, editor), Third edition, 2009, pp. 721-743

797) B     Subperiosteal plane dissection is used.

Ramirez O. M.: Why I Prefer the Endoscopic Forehead Lift, Communications in Cosmetic Surgery, Plastic and Reconstructive Surgery, September 1995, pp.1033-1039

798) C     15 mm

Karesh J. W.: Diagnosis and Management of Acquired Blepharoptosis and Dermatochalasis, Facial Plastic Surgery, Vol. 10, No.2, April 1994, pp. 185-200

799) A     Primary closure associated with Lateral Canthotomy /Lateral Cantholysis

Sykes J. M., Dugan F. M. Jr.: Evaluation and Management of Eyelid Trauma, Facial Plastic Surgery, Vol. 10, No. 1, April 1994, pp. 157-171

http://emedicine.medscape.com/article/1281955-treatment

800) D     Ptosis

Sykes J. M., Dugan F. M. Jr.: Evaluation and Management of Eyelid Trauma, Facial Plastic Surgery, Vol. 10, No. 1, April 1994, pp. 157-171

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Updated: June 15, 2017