Wednesday, February 17, 2010

851-860 MCQ in Facial Plastic and Reconstructive Surgery

851-860

851) According to Female Esthetics, what is the ideal Pretarsal Eyelid/Eyebrow Ratio?. Refer to the drawing of the Female Eye below.


A. 2.5X
B. 3.0X
C. 3.5X
D. 4.0X
E. 4.5X

852) When does PEAK Wound Contraction occur?

A. 2 days
B. 5 days
C. 7 days
D. 14 days
E. 21 days

853) Which of the following cellular components in wound healing is responsible for the CONTRACTION PHASE?

A. Macrophages
B. Fibroblasts
C. Myofibroblasts
D. Endothelial cells
E. Lymphocytes

854) When in the healing process does a wound achieve the Tensile Strength of pre-injured tissue?

A. 1 month
B. 6 months
C. 1 year
D. 2 years
E. Never

855) Which of the following statements is the appropriate maximal timing to close primarily facial wounds?

A. 6 hours
B. 24 hours
C. 36 hours
D. 48 hours
E. 72 hours

856) Which of the following properties enables this condition, related to the skin: "the ability to retain the shape obtained by stretching when the deforming force is gone"?

A. Tensile strength
B. Elasticity
C. Plasticity
D. Memory
E. Reactivity

857) Which of the following statements about the Fibular Osteomyocutaneous Free Flap is FALSE?

A. The arterial supply is based on the Peroneal Artery.
B. The Skin Paddle is supplied by Septocutaneous Perforators from the Intermuscular Septum.
C. The sensory input to the flap is based on the Lateral Sural Cutaneous Nerve.
D. This flap offers the longest length of available revascularized bone (30 cm.)
E. The donor site can be closed primarily or with a skin graft

858) Which of the following flaps is the most USEFUL in Anterior Skull Base Reconstruction?

A. Rectus Myocutaneous
B. Radial Forearm
C. Lateral Arm
D. Lateral Thigh
E. Temporoparietal Fascia

859) Which of the following eyelid conditions is treated effectively using the Feldstein Suture Procedure?

A. Ptosis
B. Ectropion
C. Entropion
D. Laxity
E. Lagophthalmos

860) Which of the following adult percentages in burn assessment is INCORRECT?

A. Each arm constitutes 9% of the Total Body Surface Area.
B. Each leg constitutes 18% of the Total Body Surface Area.
C. The head and neck 18% of the total body surface area
D. The anterior portion of the trunk constitutes 18% of the Total Body Surface Area.
E. The posterior portion of the trunk constitutes 18% of the Total Body Surface Area.


ANSWERS & REFERENCES



851) C     3.5X

Gentile R. D.: Upper Lid Blepharoplasty in Facial Plastic Surgery Clinics of North America, Blepharoplasty (Nassif P.S., editor), November 2005, Vol.13, No. 4, 2005, pp.511-524

852) D     14 days

Maas C. S.: Wound Management and Suturing Manual, Facial Plastic Surgery, American Academy of Facial Plastic and Reconstructive Surgery, 2001, pp. 4-13

Fisher E. , Frodel Jr. J. L.: Wound Healing, Chapter 2, in Facial Plastic and Reconstructive Surgery, Third Edition (Papel I. D., editor) 2009, pp. 15-25

853) C     Myofibroblasts

Fisher E. , Frodel Jr, J. L.: Wound Healing in Chapter 2 in Facial Plastic and Reconstructive Surgery (Papel I. D., editor), 2002, pp. 15-25

Fisher E. , Frodel Jr. J. L.: Wound Healing, Chapter 2, in Facial Plastic and Reconstructive Surgery, Third Edition (Papel I. D., editor) 2009, pp. 15-25

854) E     Never

Maas C. S.: Wound Management and Suturing Manual, Facial Plastic Surgery, American Academy of Facial Plastic and Reconstructive Surgery, 2001, pp. 4-13

Fisher E. , Frodel Jr. J. L.: Wound Healing, Chapter 2, in Facial Plastic and Reconstructive Surgery, Third Edition (Papel I. D., editor) 2009, pp. 15-25

855) C     36 hours

Maas C. S.: Wound Management and Suturing Manual, Facial Plastic Surgery, American Academy of Facial Plastic and Reconstructive Surgery, 2001, pp.16-24

856) C     Plasticity

Maas C. S.: Wound Management and Suturing Manual, Facial Plastic Surgery, American Academy of Facial Plastic and Reconstructive Surgery, 2001, pp. 26-36

857) D     This flap offers the longest length of available revascularized bone (30 cm.)

Burkey B. B., Coleman Jr, J. R.:Microvascular Flaps in Chapter 47 in Facial Plastic and Reconstructive Surgery, (Papel I.D. , editor), Second Edition, 2002, pp.567-590

Burkey B. B., Schmalbach C. E., Coleman Jr, J. R.:Microvascular Flaps in Chapter 57 in Facial Plastic and Reconstructive Surgery, (Papel I.D. , editor), Third Edition, 2009, pp.765-793

Chepeha D. B. , Teknos T. N.:Microvascular Free Flaps in Head and Neck Reconstruction, Chapter 162 in Head & Neck Surgery-Otolaryngology, (Bailey, B.J., editor), 4th Edition, Lippincott Williams & Wilkins, 2006, pp. 2369-2391

858) A     Rectus Myocutaneous

Burkey B. B., Coleman Jr, J. R.:Microvascular Flaps in Chapter 47 in Facial Plastic and Reconstructive Surgery, (Papel I.D. , editor), 2002, pp.567-590

Burkey B. B., Schmalbach C. E., Coleman Jr, J. R.:Microvascular Flaps in Chapter 57 in Facial Plastic and Reconstructive Surgery, (Papel I.D. , editor), Third Edition, 2009, pp.765-793

859) C     Entropion

Eliasoph I.: Current Techniques of Entropion and Ectropion Correction, Otolaryngologic Clinics of North America, Advances in Oculo-facial Surgery (Bosniak S. L., editor), October 2005, Vol. 38, No. 5, pp.903-919

860) C     The head and neck 18% of the total body surface area

Kucan J. O.: Burns and Trauma, Chapter 12 in Plastic Surgery, A Core Curriculum (Ruberg R.L., Smith D. J., editors) 1994, pp. 207-237

http://emedicine.medscape.com/article/879183-overview

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Updated: June 25, 2017

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