Friday, February 19, 2010

831-840 MCQ in Facial Plastic and Reconstructive Surgery

831-840

831) Which of the following Reconstruction Techniques represents the one used for the Ear Avulsion (with near total loss) shown below?

A. The Baudet
B. The Dieffenbach
C. The Tunnel Technique of Converse
D. The Davis
E. The Antia

832) Which of the following nasal features is the one characterizing a Pinocchio Tip Deformity?

A. Long nose
B. Supratip Deformity
C. Hanging Columella
D. Excesive nasal tip projection
E. Broad nasal tip

833) Which of the following Columellar Incisions is NOT used in Open Rhinoplasty?

A. V-shape incision
B. Inverted V-shape incision
C. Stair-step incision
D. Slightly curvilinear incision
E. Z-shape incision

834) Which of the following factors is the GREATEST contributor to skin necrosis after facelift surgery?

A. Smoking
B. Diabetes mellitus
C. Arteriosclerosis
D. Raynaud’s disease
E. Previous radiation therapy to the head and neck

835) Which of the following statements about toxicity in Chemical Face Peeling is FALSE?

A. Phenol toxicity will be enhanced by the presence of kidney or liver disease
B. Phenol is cardiotoxic, hepatotoxic and nephrotoxic.
C. Phenol absorption and toxicity is directly proportional to the total area of skin treated.
D. Phenol toxicity is directly proportional to the concentration of free phenol in the blood and tissues.
E. Phenol absorption and toxicity is directly proportional to the concentration of the solution.

836) Which of the following facial areas is MOST COMMONLY scarred after Chemical Peeling?

A. The forehead
B. The periorbital area
C. The nose
D. The cheek
E. The lip

837) Which of the following statements in the evaluation and management of patients for facial plastic surgery is FALSE?

A. If a patient expects perfection should not have surgery.
B. Every patient is not a good candidate for surgery.
C. Most faces are symmetrical.
D. The goals of a patient who seeks surgical aid should be realistic.
E. It is unethical for a plastic surgeon to guarantee the surgical results.

838) Post-rhinoplasty, when should the protective splint of the nose be removed?

A. 2 days
B. 4 days
C. 7 days
D. 12 days
E. 14 days

839) Which of the following IS NOT a characteristics of local facial flaps?

A. Similar color and texture
B. Good survival rate
C. Less contracture
D. Good in younger patients
E. Direct closure of secondary defects

840) Which of the following statements about superficial eyelid topography is FALSE?

A. Interpalpebral distance is 12 mm approximately.
B. Mean Reflex Distance 1 (MRD1) is the distance from the center of the pupil up to the inferior edge of the upper eyelid.
C. Mean Reflex Distance 2 (MRD2) is the distance from the center of the pupil down to the superior edge of the lower eyelid.
D. Eyelid ptosis will decreased the MRD1 measurement.
E. Ectropion of the lower lid will decreased the MRD2 measurement.


ANSWERS & REFERENCES


831) A     The Baudet

Baudet J, Tramond P, Goumain A. A propos d'un procede original de reimplantation pavillon de reille totalement separe [A new technic for the reimplantation of a completely severed auricle]. Ann Chir Plast. 1972;17:67–72.

Traumatic Total or Partial Ear Loss, Chapter 29 in Operative Plastic Surgery (Evans G. R.D., editor), 2000, pp. 308-313

Converse J. M.: Reconstructive of the Ear, Chapter 14 in Operative Plastic and Reconstructive Surgery, (Barron and Saad, editors), 1980, Vol. 1, pp.283-320

832) D     Excesive nasal tip projection

Peck G. C., Peck Jr., G.C.: Rhinoplasty: Classic Problems and Complications, Chapter 1, in Complications and Problems in Aesthetic Plastic Surgery, (Peck G. C., editor), 1992, pp. 1.2-1.21

833) E     Z-shape incision

Gruber R.: Rhinoplasty and Open Rhinoplasty, Chapter 2, in Complications and Problems in Aesthetic Plastic Surgery, (Peck G. C., editor), 1992, pp. 2.2-2.29

834) A     Smoking

Kaye B. L.: Facelift Surgery, Chapter 3, in Complications and Problems in Aesthetic Plastic Surgery, (Peck G. C., editor), 1992, pp. 3.2-3.15

Perkins S. W., Naderi S.: Rhytidectomy, Chapter 19 in Facial Plastic and Reconstructive Surgery, (Papel I. D. , editor), Third Edition, 2009, pp. 207-225

835) E     Phenol absorption and toxicity is directly proportional to the concentration of the solution.

Litton C., Szachowicz II E. H.: Chemical Face Peels, Chapter 7, in Complications and Problems in Aesthetic Plastic Surgery, (Peck G. C., editor), 1992, pp. 7.2-7.16

836) C     The nose

Litton C., Szachowicz II E. H.: Chemical Face Peels, Chapter 7, in Complications and Problems in Aesthetic Plastic Surgery, (Peck G. C., editor), 1992, pp. 7.2-7.16

837) C     Most faces are symmetrical.

McCollough E. G.: Effective Communication with the patient, Chapter 2 in Nasal Plastic Surgery, 1994, pp.17-29

838) C     7 days

Philosophy and Principles of Rhinoplasty, Chapter 40 in Facial Plastic and Reconstructive Surgery, (Papel I. D. , editor), Third Edition, 2009, pp. 507--528

http://emedicine.medscape.com/article/881443-treatment

839) D     Good in younger patients

Rousso D. E., Fedok F. G.: Nasal Reconstruction, chapter 22 in Nasal Plastic Surgery (McCollough E. G. , editor), 1994, pp. 321-343

840) E     Ectropion of the lower lid will decreased the MRD2 measurement.

Most S. P. , Mobley S. R., Larrabee Jr.: Anatomy of the Eyelids in Facial Plastic Surgery Clinics of North America, Blepharoplasty (Nassif P.S., editor), November 2005, Vol. 13, No. 4, pp.487-492

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Updated: June 25, 2017

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