Friday, February 5, 2010

971-980 MCQ in Facial Plastic and Reconstructive Surgery

971-980

971) Which of the following is the BEST treatment option for management of this irregular, hypertrophic scar of 8 months duration?


A. Kenalog Injections
B. Dermabrasion
C. Laser Resurfacing
D. 12 months wait since initial trauma
E. Multiple Z-plasty

972) Which of the following statements about the Radial Forearm Free Flap is TRUE?

A. It will require mandatory harvesting of bone segment.
B. The lateral antebrachial Nerve is used to obtain a sensate flap.
C. Allen’s test is rarely used for preoperative assessment.
D. Primary closure of the donor site is usually accomplished.
E. Pathologic fracture risk is insignificant.

973) Which of the following is the effect produced by Botulinum Exotoxin A?

A. Inhibits the release of Acetylcholine at the presynaptic level.
B. Inhibits the release Acetylcholine at the postsynaptic level.
C. Inhibits the release of neurotransmitters which affect the interneurons.
D. Induces the release of Acetylcholine at the presynaptic level.
E. Induces the release Acetylcholine at the postsynaptic level.

974) Which of the following herbal and supplemental medicines used by cosmetic patients will most likely cause hypoglycemia?

A. Chondroitin
B. Glucosamine
C. Ginseng
D. Garlic
E. Vitamin E

975) Which of the following statements regarding The Orticochea ( “Banana Peel” ) Flap for scalp defects is FALSE?

A. The technique will require mobilization of the entire scalp.
B. The technique is based in two large and wide scalp flaps.
C. The technique is useful in severely debilitated patients who can not tolerate lengthy general anesthesia.
D. The technique will serve well for scalp defects up to 30% of the total scalp area.
E. The technique is based on Axial Flaps.


976) When is there near complete return of sensory and motor function after placement of the Abbé Cross Lip Flap?

A. 2months
B. 6 months
C. 8 months
D. 10 months
E. 12 months

977) After scar formation, when is it appropriate to perform Dermabrasion?

A. 2 weeks
B. 4 weeks
C. 8 weeks
D. 10 months
E. It is contraindicated

978) Which of the following represents an INCORRECT relationship between flap and blood supply?

A. Rectus Myocutaneous Free Flap / Deep Superior Epigastric Vessels
B. Forehead Flap / Supraorbital and Supratrochlear Arteries
C. Latissimus Dorsi Flap / Thoracodorsal Artery
D. Deltopectoral Flap / Internal Mammary Arteries
E. Lateral Arm Free Flap / Posterior Radial Collateral Artery

979) Which of the following anatomical structures DIVIDES the Lacrimal Gland into an Orbital Lobe and a Palpebral Lobe?

A. The Müller muscle
B. The Medial Canthal Tendon
C. The Levator Aponeurosis
D. The Orbital Septum
E. The Superior Oblique Muscle

980) Which of the following dosages is the MAXIMUM DOSAGE LIMIT (MG/KG) of Bupivacaine without Epinephrine?

A. 1.5 mg/Kg
B. 2.5 mg/Kg
C. 3.5 mg/Kg
D. 4.0 mg/Kg
E. 5.0 mg/Kg


ANSWERS & REFERENCES


971) D     12 months wait since initial trauma

Kokoska M. S., Thomas J. R.: Scar Revision, Chapter 5, in Facial Plastic and Reconstructive Surgery (Papel I. D., editor), 2002, pp. 55-60

Kokoska M. S., Thomas J. R.: Scar Revision, Chapter 5, in Facial Plastic and Reconstructive Surgery (Papel I. D., editor), 2009, pp. 59-65

http://emedicine.medscape.com/article/838297-overview

972) B     The lateral antebrachial Nerve is used to obtain a sensate flap.

Burkey B.B., Coleman Jr., J. R.: Microvascular Flaps, Chapter 47 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Second Edition, pp.578-560, 2002

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

973) A     Inhibits the release of Acetylcholine at the presynaptic level.

Blitzer A. , Binder W. J. , Brin M. F. : Botulinum Exotoxin A (Botox) for Facial Wrinkles, chapter 23, in Facial Plastic and Reconstructive Surgery (Papel I. D., editor), 2002, pp. 262-268

Lam S.M.: The basic science of botulinum toxin, Botox, ( Dayan S.H., Guest Editor), Facial Plastic Surgery Clinics of NorthAmerica, November 2003, pp.431-438

974) B     Glucosamine

Heller J., Gabbay J. S. , Ghadjar K., Jourabchi M. , O’hara C., Heller M., Bradley J. P.: Top-10 List of Herbal and Supplemental Medicines Used by Cosmetic Patients: What the Plastic Surgeon Needs to Know? Plastic and Reconstructive Surgery, Feb. 2006, Vol. 117, No. 2, pp. 436-445

975) B     The technique is based in two large and wide scalp flaps.

Frodel J. L., Ahlstrom K. : Reconstruction of Complex Scalp Defects, Arch. Facial Plastic Surg. , Vol. 6, Jan-Feb. 2004, pp. 54-60


http://www.emedicine.com/plastic/topic82.htm

976) E     12 months

Cupp C. L., Larrabbe Jr. W.F: Reconstruction of the lips, Operative Techniques in Otolaryngology-Head and Neck Surgery, Vol. 4, N0. 1, March, 1993, pp. 46-53

DeFatta R. J., Williams III E. F.: Lip Reconstruction, Chapter 61 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Third Edition, pp. 841-854, 2009

977) C     8 weeks

Kokoska M. S., Thomas J. R.: Scar Revision, Chapter 5, in Facial Plastic and Reconstructive Surgery (Papel I. D., editor), 2002, pp. 55-60

Kokoska M. S., Thomas J. R.: Scar Revision, Chapter 5, in Facial Plastic and Reconstructive Surgery (Papel I. D., editor), 2009, pp. 59-65

978) A     Rectus Myocutaneous Free Flap / Deep Superior Epigastric Vessels

Burkey B.B., Coleman Jr., J. R.: Microvascular Flaps, Chapter 47 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Second Edition, pp.578-560, 2002

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

979) C     The Levator Aponeurosis

Burkat C. N. , Lemake B. N. : Anatomy of the Orbit and Its Related Structures, Otolaryngology Clinics of North America, Vol. 38, No. 5, 2005, pp. 825-856

980) B     2.5 mg/Kg

Fletcher M.: Anesthesia in Facial Plastic Surgery, Chapter 14 in Facial Plastic and Reconstructive Surgery, Second Edition, (Papel I. D., editor), 2002, pp.145-152

Fletcher M.: Anesthesia in Facial Plastic Surgery, Chapter 14 in Facial Plastic and Reconstructive Surgery, Third Edition, (Papel I. D., editor), 2009, pp. 189-197

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Updated: July 25, 2017

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