Monday, February 15, 2010

871-880 MCQ in Facial Plastic and Reconstructive Surgery


871-880

871) Which of the following facial plating systems is the ONE represented in the drawing below?

A. DCP (Dynamic Compression Plate) System
B. EDCP (Eccentric Dynamic Compression Plate) System
C. Mandibular Reconstructive System
D. Lag Screw System
E. Emergency Screw System

872) Which of the following recommendations is the KEY to the PROPER management of human and animal penetrating wounds?

A. Copious irrigation
B. Debridement
C. Amoxicilin-clavulanate IV
D. Primary closure
E. Delayed primary closure

873) What is the minimal size of Congenital Hairy Nevus clinically significant for development of melanoma?

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

874) Which of the following statements about oral commisure electrical burns is FALSE?

A. The timing of management is controversial.
B. The controversy is related to immediate excision versus delayed excision.
C. Immediate excision and repair will produce excision of normal tissue.
D. Delayed excision and repair carries the risk of Labial Artery Bleeding.
E. 90% of cases will require late flaps for Commissure Reconstruction.

875) Which of the following statements about oral commisure electrical burns is FALSE?

A. The degree of tissue destruction is very difficult to determine in the initial period.
B. 2 weeks after the burn it is necessary to distinguish between vital and nonvital tissue.
C. Usually the amount of tissue destruction is less than expected at the initial evaluation.
D. The reconstruction stage can start 2-weeks postinjury.
E. The Acrylic Obturator with Commisure Splint is useful in preventing contracture.

876) Which of the following Cleft Lip Deformities is the one that can be successfully repaired by the MANCHESTER Technique?

A. Complete Unilateral Cleft Lip
B. Incomplete Unilateral Cleft Lip
C. Bilateral Cleft Lip
D. Bilateral Cleft of the soft and the hard palate
E. Cleft Nasal Deformities

877) Which of the following statement about the Sphincter Pharyngoplasty designed by Orticochea is FALSE?

A. Flaps are raised from the posterior tonsillar pillars.
B. Each flap contains a portion of the Palatopharyngeus muscle.
C. Patients who demonstrate poor velar elevation but good lateral wall motion are good candidates for Sphincter Pharyngoplasty.
D. The flaps are transposed medially and interdigitated on the posterior pharyngeal wall.
E. The flaps are not sutured to the posterior Pharyngeal Wall laterally.

878) Which of the following cranial nerves DOES NOT pass through the Superior Orbital Fissure?

A. III
B. IV
C. VI
D. V1
E. V2

879) Which of the following statements about the Arc of Rotation in the SCALP is TRUE?

A. The arc of rotation in the scalp should be 2 times the wound diameter
B. The arc of rotation in the scalp should be 3 times the wound diameter
C. The arc of rotation in the scalp should be 4 times the wound diameter
D. The arc of rotation in the scalp should be 5 times the wound diameter
E. The arc of rotation in the scalp should be 6 times the wound diameter

880) Which of the following is NOT characteristic of aging lips?

A. Blunting of the philtrum
B. Flattening of the white roll of the upper and lower lips
C. Lip projection is unchanged
D. Decreased vermillion show
E. Perioral rhytids


ANSWERS & REFERENCES


871) D     Lag Screw System

Schwimmer A.: Lag Screw Technique and Advanced Applications, Chapter 6 in Craniomaxillofacial Fractures, Principles of Internal Fixation Using the AO/ASIF Technique, (Creenberg A.M., editor), 1993, pp. 69-76

Costantino P. D., Tadros M., Wolpoe M.:Principles of Facial Plating Systems, Chapter 67 in Facial Plastic and Reconstructive Surgery, (Papel I.D. , editor), 2009, pp.929-944

872) A     Copious irrigation

Holt G. R.: Acute Soft Tissue Injuries of the Face, Chapter 54 in Facial Plastic and Reconstructive Surgery, Second Edition (Papel, Ira), 2002, pp. 689-696

Stallworth C. L., Holt G. R.: Acute Soft Tissue Injuries of the Face, Chapter 65 in Facial Plastic and Reconstructive Surgery, Second Edition (Papel, Ira), 2009, pp. 907-918

873) D     20 cm

Casuccio J. R.: Pediatric Issues in Facial Plastic and Reconstructive Surgery, Chapter 28 in Operative Challenges in Otolaryngology-Head and Neck Surgery, (Pillsbury III H. C., Goldsmith III M. M., editors), 1990, pp.515-526

874) E     90% of cases will require late flaps for Commissure Reconstruction.
Cassisi N. J.: Cervical Trauma, Chapter 27 in Operative Challenges in Otolaryngology-Head and Neck Surgery, (Pillsbury III H. C., Goldsmith III M. M., editors), 1990, pp.497-504

875) C     Usually the amount of tissue destruction is less than expected at the initial evaluation.

Cassisi N. J.: Cervical Trauma, Chapter 27 in Operative Challenges in Otolaryngology-Head and Neck Surgery, (Pillsbury III H. C., Goldsmith III M. M., editors), 1990, pp.497-504

876) C     Bilateral Cleft Lip

Richards A. M.: Key Notes on Plastic Surgery, 2002, pp.93-106

http://emedicine.medscape.com/article/1279040-overview

877) C     Patients who demonstrate poor velar elevation but good lateral wall motion are good candidates for Sphincter Pharyngoplasty.

Richards A. M.: Key Notes on Plastic Surgery, 2002, pp.93-106

http://emedicine.medscape.com/article/1281032-overview

878) E     V2

Ricciardelli E., Persing J. A.: Anatomy/Physiology/Embryology, chapter 14 in Plastic Surgery, A Core Curriculum (Ruberg R. L., and Smith D. J., editors), 1994, p.252

879) E     The arc of rotation in the scalp should be 6 times the wound diameter

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

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

880) C     Lip projection is unchanged

Maloney B. P.: Aesthetic Surgery of the Lip, Chapter 29 in Facial Plastic and Reconstructive Surgery, Second Edition, (Papel I. D., editor), 2002, pp.344-352

Maloney B. P.: Aesthetic Surgery of the Lip, Chapter 36 in Facial Plastic and Reconstructive Surgery, Third Edition, (Papel I. D., editor), 2009, pp.459-468

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Updated: June 25, 2017

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