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Updated: May 26, 2018
921) Which of the following muscles is the ONE indicated by the arrow in the drawing below ( medial view of the left hemimandible)
A. MylohyoidB. Lateral Pterygoid
C. Medial Pterygoid
D. Masseter
E. Geniohyoid
922) Which of the following tumor thicknesses ( in mm ) of cutaneous malignant melanoma, based on retrospective non-randomized studies, is the one in which elective neck dissection is recommended for treatment?
A. 0.0-0.75 mm
B. 0.76-1.5 mm
C. 1.6-4.0
D. 4.1 -4.5 mm
E. 4.51 mm or greater
923) What percentage of sensitivity, when used in combination, the barium swallow and the esophagoscopy have for the identification of esophageal perforation after a gunshot wound to the neck?
A. 60%
B. 70%
C. 80%
D. 90%
E. 100%
924) With respect to corrective surgery of the upper third of the aging face, which of the following approaches involves dissection at the subcutaneous level?
A. Coronal
B. Pre-tichial
C. Post-trichial
D. Midforehead
E. Endoscopic
925) A patient with diagnosis of facial/neck hemangioma is allergic to propanolol. Which of the following prednisone doses is the one indicated in the management of Hemangioma using steroid therapy?
A. 0.5 mg/kg/day
B. 1.0 mg/kg/day
C. 2.0 mg/kg/day
D. 4.0 mg/kg/day
E. 5.0 mg/kg/day
926) Which of the following complications can occur in the lateral aspect of dissection for Coronal/Hemicoronal Flaps if the surgery proceeds WITHIN the Superficial Temporal Fat Pad?
A. Hematoma of the fat pad
B. Infection of the fat pad
C. Abscess of the fat pad
D. Atrophy of the fat pad
E. Paralysis of the Frontalis branch of the Facial Nerve
927) Which of the following facial aesthetic units is done LAST in Deep Chemical Peeling?
A. Forehead
B. Cheeks
C. Perioral
D. Nose
E. Periorbital
928) Which of the following mechanisms is involved in the CONDUCTION BLOCKADE of local anesthetics?
A. Sodium ion influx is directed to flow through specific channels into the cell.
B. Potassium ion influx is directed to flow through specific channels into the cell.
C. Calcium ions are directed to flow through specific channels into the cell.
D. Sodium and Potassium ions are directed to flow through specific channels into the cell.
E. Potassium and Calcium ions are directed to flow through specific channels into the cell.
929) Which of the following adverse conditions IS ASSOCIATED with wounds closed under a great degree of tension?
A. Decresed tensile strength
B. Hypertrophic scar
C. Infection
D. Keloid
E. Pigmentary skin changes
930) Which of the following statements about the “Pinch” Blepharoplasty Technique is FALSE?
A. It is usually performed for the transconjunctival removal of fat in Lower Eyelid Blepharoplasty.
B. The removal of transconjunctival fat is done after the “Pinch” Skin Excision.
C. The line of incision is 5 mm below the lateral margin of the eyelid, leaving an island of intact skin of 5 mm height.
D. Straight scissors are used to excise the “wall” of skin, leaving the Orbicularis Muscle intact.
E. The skin margins after excision should be “just kissing”.
ANSWERS & REFERENCES
921) B Lateral Pterygoid
Goss C.M:Gray's Anatomy, Chapter 4, Lea & Febiger, 1973, pp.152-153
922) C 1.6-4.0
Medina J. E.: Malignant Melanoma of the Head and Neck, Facial Skin Malignancy I, Otolaryngologic Clinics of North America, Vol. 26, No. 1, February 1993, pp. 73-83
Hendrix J. D., Slingluff C.L.: Diagnosis and Treatment of Cutaneous Malignancies, Chapter 52 in Facial Plastic and Reconstructive Surgery, (Papel I.D., editor), Third Edition, 2009, pp. 675-702
http://emedicine.medscape.com/article/846566-overview
923) D 90%
Stiernberg C.M., Jahrsdoerfer R. A., Gillenwater A., Joe S. A., Alcalen S. V.: Gunshot Wounds to the Head and Neck, Arch. Otolaryngology Head and Neck Surgery, June 1992 ,Vol. 118, pp.592-596
Kerth J. D., Toriumi D. M.: Management of the Aging Forehead, Arch. Otolaryngology-Head and Neck Surgery, Vol. 116, Oct. 1990, pp. 1137-1142
Adamson P. A., Dahiya R.: The Aging Forehead, chapter 179 in Head and Neck Surgery - Otolaryngology , 4th Edition, (Bailey, Johnson, Newlands, editors), Lippincott Williams & Wilkins, 2006, pp. 2663-2683
Waner M., Suen J.Y., Dinehart S.: Treatment of Hemangiomas of the Head and Neck, Laryngoscope 102, Oct. 1992, pp.1123-1132
926) E Paralysis of the Frontalis branch of the Facial Nerve
927) E Periorbital
McCollough E.G., Hillman Jr. R.A.: Chemical Face Peel, Symposium of the Aging Face, Otolaryngology Clinics of North America, May 1980, Vol. 13, No.2, pp. 353-365
Mandy S. H., Monheit G. D.: Dermabrasion and Chemical Peels, Chapter 25 in Facial Plastic and Reconstructive Surgery, (Papel I.D., editor), Third Edition, 2009, pp. 301-320
928) A Sodium ion influx is directed to flow through specific channels into the cell.
Ehlert T. K., Arnold D. E.: Local Anesthesia for Soft Tissue Surgery, Facial Plastic Surgery, Otolaryngologic Clinics of North America, Oct. 1990, Vol.23, No. 5, pp. 831-844
Fletcher M.:Anesthesia in Facial Plastic Surgery, Chapter 14 in Facial Plastic and Reconstructive Surgery, (Papel I.D., editor), Second Edition, 2002, pp. 145-152
Fletcher M.:Anesthesia in Facial Plastic Surgery, Chapter 17 in Facial Plastic and Reconstructive Surgery, (Papel I.D., editor), Third Edition, 2009, pp. 189-197
929) B Hypertrophic scar
Kokoska M. S., Thomas J.R.: Scar Revision, chapter 5 in Facial Plastic and Reconstructive Surgery, (Papel, editor), Second Edition, Thieme, 2002, pp. 55-60
Kokoska M. S., Thomas J.R.: Scar Revision, chapter 5 in Facial Plastic and Reconstructive Surgery, (Papel, editor), Third Edition, Thieme, 2009, pp. 59-65
930) B The removal of transconjunctival fat is done after the “Pinch” Skin Excision.
Rosenfield L. K.: The Pinch Blepharoplasty Revisited, Plastic and Reconstructive Surgery, April 2005, Vol. 115, No.5 pp. 1405-1412
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Updated: May 26, 2018
2 comments:
Question 930- both A and B seem to be saying the same thing and I think they are both false.. pinch blepharoplasty is typically for the skin as I understand it and not for the fat in a transconj approach
Dear reader:
For this question I would like to refer to the article in the reference:
http://drrosenfield.com/wp-content/uploads/2013/03/Rosenfield-Paper-The-Pinch-Blepharoplasty-PRS-Journal-April-2005.pdf.
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The author advised the removal of excess fat "conducted before skin excision because the amount of redundant skin can potentially be less once the redundant fat is extracted". Therefore, the answer B is False.
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Thank you for your email and constructive comment.
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