Saturday, February 13, 2010

891-900 MCQ in Facial Plastic and Reconstructive Surgery

891-900
891) Which ot the following statements about the local flap designed below is FALSE?

A. It is based on the principles of the Limberg Flap
B. It will allow designs in 2 different ways.
C. It will close large circular defects.
D. It is ideal for closing scalp vertex defects.
E. Its main disadvantage is "Trap-Door" Contracture.

892) Which one of the following complications related to the Deep-Plane Rhytidectomy has been found in higher frequency than that found with more superficial Rhytidectomy?

A. Hematoma
B. Infection
C. Skin necrosis
D. Facial nerve injury
E. Alopecia

893) Which of the following statements about unstable, potentially violent patients is TRUE?

A. They occupy approximately 20% of the patient base.
B. Men are less prone to instability than women.
C. Older patients have greater frequency of abnormal behavior than younger patients.
D. Use and abuse of alcohol is related to unstable and violent behavior.
E. Rhinoplasty patients are at greater risk than facial scar patients for unstable or violent acts.

894) Which of the following is NOT a facial characteristic typical of a 70-year-old man?

A. Drooping, elongated nasal tip complex
B. Dorsal nasal hump
C. Skin and subcutaneous tissues thickened
D. Stretching and migration downward of the lateral cruras
E. Facial proportions (three equal third) unchanged

895) Which of the following features is NOT characteristic of a problematic rhinoplastic patient?

A. Married
B. Immature
C. Male
D. Overly expectant
E. Narcissistic

896) Which of the following facial analysis is related to a female rather than a male patient?

A. Wider, straighter and less concave dorsal aesthetic lines
B. Dorsum 2 mm behind a line drawn from the radix to the tip-defining points
C. No supratip break
D. Decreased Tip Rotation
E. Chin tangential to a plumb line from the vermilion of the upper lip

897) Which of the following congenital syndromes is an inherited multisystemic disorder that includes multiple Basal Cell Carcinomas, palmar and plantar pitting, calcification of the dura, jaw cysts and skeletal abnormalities?

A. Xeroderma Pigmentosum
B. Epidermolysplasia Verruciformis
C. Nevoid Basal Cell Carcinoma Syndrome
D. Muir-Tore Syndrome
E. Rombo Syndrome

898) Which of the following complications is the MOST COMMON after Epicanthoplasty in the Asian patient?

A. Keloid Formation
B. Hypertrophic Scar
C. Skin Necrosis
D. Asymmetry
E. Infection

899) Which of the following synthetic implants has micropores of 30 μm, allows tissue ingrowth, is biocompatible, is soft/pliable, is sculptable, has poor structural support and generally is used for onlay augmentation of the Nasal Dorsum.?

A. Medpor
B. Silastic
C. Mersilene
D. Gore-tex
E. Supramid

900) Which of the following doses is the total recommended dosage of lidocaine without epinephrine in an adult patient?

A. 300 mg
B. 400 mg
C. 500 mg
D. 600 mg
E. 700 mg


ANSWERS & REFERENCES


891) E     Its main disadvantage is "Trap-Door" Contracture.

Bailey B.J., Calhoun K.H., Coffey A.R., Neely J.G.: Atlas of Head & Neck Surgery-Otolaryngology, Lippinctoot-Raven, First Edition, pp. 628-629

892) D     Facial nerve injury

Kridel R. W. H., Covello L. V.: The Aging face (Rhytidectomy), Chapter 180 in Head and Neck Surgery- Otolaryngology, (Bailey B.J., editor), Third Edition, 2001, Lippincott Williams & Wilkins, pp.2317-2338

Kridel R. W. H., Soliemanzadeh P..: The Aging Face (Rhytidectomy), Chapter 177, in Head and Neck Surgery- Otolaryngology, (Bailey B.J., editor), Fourth Edition, 2006, Lippincott Williams & Wilkins, pp. 2627-2650

893) E     Rhinoplasty patients are at greater risk than facial scar patients for unstable or violent acts.

Powell D., Hobgood T.: Detection and Management of the unstable patient, Facial Plastic Surgery Clinics of North America, (Regan Thomas J.,editor), Seminal Review Issue, February 2005, Vol.13, No. 1, pp.169-180

894) E    Facial proportions (three equal third) unchanged

Rohrich R. J., Hollier L. H.: Rhinoplasty with Advancing Age, Characteristcs and Management, Rhinoplasty, Current Concepts, (Guyuron B, editor), Clinics in Plastic Surgery, April 1996, Vol. 23, No. 2, pp. 281-296

895) A     Married

Rohrich R.J., Janis J.E., Kenkel J. M.: Male Rhinoplasty, Plastic and Reconstructive Surgery, Sept. 2003, Vol.112, no. 4, pp.1071-1885

896) B     Dorsum 2 mm behind a line drawn from the radix to the tip-defining points

Rohrich R.J., Janis J.E., Kenkel J. M.: Male Rhinoplasty, Plastic and Reconstructive Surgery, Sept. 2003, Vol.112, no. 4, pp.1071-1885

897) C     Nevoid Basal Cell Carcinoma Syndrome

Gherardini G., Bhatia N., Stal S.: Congenital Syndromes Associated with Nonmelanoma Skin Cancer, Nonmelanoma Skin Cancer, Clinics in Plastic Surgery, (Schusterman M.A, editor), Clinics in Plastic Surgery, October 1997, Vol. 24, No. 4, pp. 649-661

898) B     Hypertrophic Scar

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

899) D     Gore-tex

Romo III T., KwaK E. S.: Nasal Grafts and Implants in Revision Rhinoplasty, in Facial Plastic Surgery Clinics of Noth America, Vol. 14, N0. 4., November 2006, pp. 373-387

900) A     300 mg

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

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Updated: July 25, 2017

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