Sunday, February 14, 2010

881-890 MCQ in Facial Plastic and Reconstructive Surgery

881-890

881) Which of the following statements about the Musculocutaneous Flap Technique shown below is TRUE?

A. Its blood supply is based on the transverse cervical and dorsal scapular arteries.
B. It is the most reliable of the three flap designs.
C. Its blood supply can be compromised by a previous neck dissection.
D. It is usually designed as an island musculocutenous Flap.
E. It is always closed primarily, but will require wide undermining.

882) In a preoperative computer analysis a patient has a LEGAN angle of 20 degrees. Which of the following statements is TRUE?

A. There is poor Nasal Tip Projection
B. There is adequate Nasal Tip Projection
C. There is poor Chin Projection
D. There is adequate Chin Projection
E. There is poor Nasal Tip Rotation

883) Which of the following hair colors is the LEAST suited for hair transplantation procedures in patients with light skin and straight hair?

A. Blonde
B. Red
C. Gray
D. Salt-and-pepper
E. Dark brown

884) Which of the following complications is the one created by combining large excisions of Lateral Crura with Vertical Dome Divisions (Goldman Technique)?

A. Tent-Pole Appearance
B. Nasal Valve Collapse
C. Alar Retraction
D. Bossa Deformity
E. Tip Ptosis

885) Which of the following statements about Frontal Sinus Fracture is FALSE?

A. Extreme force is required to fracture the Anterior Table of the Frontal Sinus.
B. Associated serious injuries are common in 2/3 of the patients.
C. Isolated fracture of the Anterior Table occurs in 1/3 of the patients.
D. Combined fractures involving Anterior Table , Posterior Table and Nasofrontal Recess occur in 2/3 of patients
E. Follow up is limited to 1 year.

886) Which of the following is NOT a "red flag" when evaluating patients for cosmetic plastic surgery?

A. Overconcern with a minor deformity
B. Inability to describe problem
C. Disapproving family
D. Female rhinoplasty patient
E. Surgiholic patients

887) Which of the following statements about lidocaine (Xylocaine) as used in local anesthesia is TRUE?

A. It is an amine local anesthetic.
B. It produces local anesthesia by selectively blocking the sodium ions of the axon.
C. It is totally metabolized by the liver.
D. Its plasma half-life is 1.5 hours.
E. Its recommended total dosage in an adult is 500 mg without Epinephrine.

888) Which of the following statements is TRUE regarding the execution of the Rotation-Advancement Flap Technique for the repair of a Cleft Lip?

A. The A flap is the Advancement Flap
B. The B flap is the Rotation Flap
C. The c flap is the Columellar Flap, noncleft side
D. The D flap is the Simonart’s band
E. The m flap is the Lateral Mucosal Flap

889) What percentage of Asian Eyelids have an Epicanthal fold?

A. 5 %
B. 25%
C. 50%
D. 75%
E. 90%

890) For which of the following nasal deformities is the TONGUE-IN-GROOVE Technique indicated?

A. Alar Flare
B. Nasal Valve Collapse
C. Hanging Ala
D. Hanging Columella
E. Retracted Ala


ANSWERS & REFERENCES


881) B     It is the most reliable of three flap designs.

Annino Jr. D. J. , Shu R. S.: Musculocutaneous Flaps, Chapter 46 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Second Edition, 2002, p. 560-566

Annino Jr. D. J. , Shu R. S. Gold D. R.: Musculocutaneous Flaps, Chapter 56 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Third Edition, 2009, p. 757-764

882) C     There is poor Chin Projection

Papel I.D: Computer Imaging for Facial Plastic Surgery, Chapter 10 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Second Edition, 2002, p. 110-124

Papel I.D: Computer Imaging for Facial Plastic Surgery, Chapter 12 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Third Edition, 2009, p. 135-141

883) E     Dark brown

Stough D. , Whitworth J.M.: Hair Replacement Techniques, Chapter 26, Facial Plastic and Reconstructive Surgery), Second edition, (Papel I.D., editor), 2002, pp.299-308

Rousso D. E., Sule S. Stough D., , Whitworth J.M.: Hair Replacement Techniques, Chapter 33, Facial Plastic and Reconstructive Surgery), Third edition, (Papel I.D., editor), 2009, pp.
409-420

884) A     Tent-Pole Appearance

Simons R.L., Rhee J.S.: Surgery of the Nasal Tip: Vertical Dome Division, chapter 37 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Second Edition, pp. 429-438, 2002

Simons R.L., Rhee J.S.: Surgery of the Nasal Tip: Vertical Dome Division, chapter 45 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Third Edition, pp. 577-587 , 2009

885) E     Follow up is limited to 1 year.

Strong E. B., Sykes J. M.: Frontal Sinus and Nasoorbitoethmoid Complex Fractures, Chapter 59 in Facial Plastic and Reconstructive Surgery, Second Edition, 2002, pp. 747-758

Strong E. B., Sykes J. M.: Frontal Sinus and Nasoorbitoethmoid Complex Fractures, Chapter 69 in Facial Plastic and Reconstructive Surgery, Second Edition, 2009, pp. 965-990

886) D     Female rhinoplasty patient

Foster C. A.: A Plastic Surgeon's Perspective, Chapter 2 in Aesthetic Facial Plastic Surgery, A Multidisciplinary Approach (Romo III,T., Millman A.L., editors), 2000, pp.17-26

887) B     It produces local anesthesia by selectively blocking the sodium ions of the axon.

Norfleet E. A.: Toxic Effects of Anesthetic, Chapter 45 in Operative Challenges in Otolaryngology-Head and Neck Surgery, (Pillsbury III H. C. and Goldsmith III M.M, editors), 1990, pp. 832-842

Fletcher M. V.: Anesthesia in Facial Plastic Surgery, Chapter 17, in Facial Plastic and Reconstructive Surgery (Papel I.D., editor), Third Edition, 2009, pp.189-197

888) C     The c flap is the Columellar Flap, noncleft side

Sykes J. M., Tollefson T.T.: Management of the cleft lip deformity, Facial Plastic Surgery Clinics of North America, (Regan Thomas J.,editor), Seminal Review Issue, February 2005, Vol.13, No. 1, pp.157-167

Capone R. B., Sykes J. M.: Evaluation and Management of Cleft Lip and Palate Disorders, Chapter 76, in Facial Plastic and Reconstructive Surgery (Papel I.D., editor), Third Edition, 2009, pp.1059-1078

889) E     90%

McCurdy Jr., J. A.: Upper blepharoplaty in the Asian patient: the “double eyelid” operation, Facial Plastic Surgery Clinics of North America, Seminal Review Issue, (Regan Thomas, J., editor), February 2005, Vol. 13, No. 1, pp.47-64

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

890) D     Hanging Columella

Skridel R. W. H., Chiu R. J.: The Management of Alar Columellar Disproportion in Revision Rhinoplasty, Facial Plastic Surgery Clinics of North America, Vol. 14, N0. 4., November 2006, pp. 313-329

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Updated: July 25, 2017

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