91) The drawing below represents the upper and lower eyelid skin incisions planned in a blepharoplasty procedure. What is the MINIMAL DISTANCE that should remain between both incisions at their lateral aspect? (indicated by the arrows). Click the picture to enlarge image.
A. 3 mmB. 5 mm
C. 10 mm
D. 15 mm
E. 20 mm
92) The vertical glabellar rhytids are PRODUCED by the contraction of:
A. The frontalis muscle
B. The procerus muscle
C. The corrugator supercilii
D. The orbital portion of the orbicularis ocular muscle
E. The medial canthal tendon
93) The paramedian forehead flap has its BLOOD SUPPLY from:
A. The supraorbital artery
B. The supratrochlear artery
C. The angular artery
D. The anterior branch of the superficial temporal artery
E. The frontal artery
94) The Telogen effluvium phenomenon will RESOLVE in what time period?
A. 1 week
B. 2 weeks
C. 1 month
D. 2 months
E. 3 months
95) Which of the following statements about Furlow Palatoplasty is FALSE?
A. It is indicated for repair clefts restricted to the soft palate.
B. It is indicated for repair of submucous clefts palate.
C. It is indicated in clefts palate with width greater than 1 cm.
D. It has a high rate of velopharyngeal competence.
E. It is a double opposing Z-Plasty.
96) A wide, flat and broad nose is MOST likely a:
A. Leptorhine nose
B. Platyrhine nose
C. Mesorhine nose
D. Middle Eastern nose
E. Latino nose
97) An angle of 30 degrees PERTAINS to the:
A. Nasofrontal angle
B. Nasofacial angle
C. Nasomental angle
D. Mentocervical angle
E. Nasolabial angle
98) Which calvarium bone is the THICKEST?
A. Parietal
B. Temporal
C. Frontal
D. Occipital
E. There is no significant difference in thickness
99) Which of the following statements about calvarial bone grafting is TRUE?
A. The calvarial bone graft has a higher incidence of resorption that iliac crest
B. The dural layer does not adhere closely to the under surface of the inner calvarial portion of the skull.
C. The place for harvesting the graft is below the temporal line.
D. Midline calvarial bone grafts are prone to few complications, however the surgical technique is more demanding.
E. Harvesting the graft above the temporal line will avoid complications because the calvarium is thicker above the temporal line.
100) 70% of glycolic acid used as a peeling solution will penetrate to which of the following levels?
A. Stratum corneum
B. Entire epidermis
C. Dermis papillar
D. Upper reticular dermis
E. Midreticular dermis
ANSWERS & REFERENCES
91) B 5 mm
Cheney M. L., Rounds M.F.: Blepharoplasty in Chapter 50 in Facial Surgery Plastic and Reconstructive (Cheney, editor), Williams & Wilkins, First Edition, pp. 895-896, 1997
Karimnejad K. Walen S.: Complications in Eyelid Surgery, Functional and Cosmetic Eyelid Surgery, Facial Plastic Surgery Clinics of North America (Branham G. H.,editor), May 2016, pp.193-203
92) C The corrugator supercilii
Koch R. J., Hanasono M.M.: Aesthetic Facial Analysis, chapter 13 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Second Edition, pp. 139, 2002
Nassif P. S.: Rejuvenation of the Aging Brow and Forehead, chapter 25 in Cummings Otolaryngology-Head and Neck Surgery, Fifth edition, Volume one, Mosby Elsevier, 428-438
93) B The supratrochlear artery
Baker S.: Major Nasal Reconstruction, Chapter 49 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Second Edition, pp. 607-610, 2002
Park S. S.: Local and Regional Cutaneous Flaps, Chapter 54 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Second Edition, pp. 721-743, 2009
Baker S. R. : Reconstruction of Facial Defects, chapter 24 in Cummings Otolaryngology-Head and Neck Surgery, Fifth edition, Volume one, Mosby Elsevier, 2010, pp. 342-363
94) E 3 months
Stough III, D.B., Randall J. K., Schauder C.S.: Complications in Hair Replacement Surgery, Facial Plastic Surgery Clinics of North America, Saunders, Vol. 2, No. 2, pp. 219-220, 1994
Bassichis B. A., Konior R. J.: Management of Alopecia, Chapter 184 in Head and Neck Surgery-Otolaryngology, (Bailey, B. J., Johnson J. T., Newlands S.D., editors) , 4th Edition, pp. 2749-2759, 2006
95) C It is indicated in clefts palate with width greater than 1 cm.
Gage-White L.: Furlow Palatoplasty: Double Oppossing Z-Plasty, Facial Plastic Surgery, Vol. 9, No. 3, pp 181-183, 1993
Capone R. B., Sykes J. M.: Evaluation and Management of Cleft Lip and Palate Disorders, Chapter 76 in Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) pp. 1059-1078, 2009
Dyleski R. A., Crockett D. M.: Cleft Lip and Palate: Evaluation and Treatment of the Primary Deformity, Chapter 95 in Head and Neck Surgery-Otolaryngology, (Bailey, B. J., Johnson J. T., Newlands S.D., editors) , 4th Edition, pp. 1317-1335 , 2006
Porter J. P., Lee J. I.: Facial Analysis: maintaining ethnic balance, Etnic Variations in Facial Plastic Surgery, Facial Plastic Surgery Clinics of North America, Saunders, ( Porter J.P., editor). Vol. 10, No. 4, pp. 343-349, 2002
Calhoun K. H., Stambaugh K. I.: Facial Analysis and Preoperative Evaluation, Chapter 168 in Head and Neck Surgery-Otolaryngology, (Bailey, B. J., Johnson J. T., Newlands S.D., editors) , 4th Edition, pp. 2481-2497, 2006
Papel I. D.: Computer Imaging for Facial Plastic Surgery, Chapter 12 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Third Edition, pp. 135-141, 2009
Zimbler M. S.: Aesthetic Facial Analysis, chapter 19 in Cummings Otolaryngology-Head and Neck Surgery, Fifth Edition, Volume one, Mosby Elsevier, 2010. pp. 270-280
98) A Parietal
Frodel J.L., Marentette L.J., Quatela V.C., Weinstein G.S.: Calvarial Bone Graft Harvest, Techniques, Considerations and Morbidity, Arch. Otolaryngology-Head and Neck Surg., Vol. 119, pp.17-23, 1993
99) E Harvesting the graft above the temporal line will avoid complications because the calvarium is thicker above the temporal line.
100) B Entire epidermis
Monheit G. D., Chastain M.A.: Chemical Peels, Facial Plastic Surgery Clinics of North America, Facial Rejuvenation: Nonsurgical Modalities (Glaser D. A., Guest Editor), Vol. 9, No. 2, May 2001, pp. 239-255
Mandy S. H., Monheit G.D.: Dermabrasion and Chemical Peels Chapter 20 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Second Edition, pp. 229-230, 2002
Mandy S. H., Monheit G.D.: Dermabrasion and Chemical Peels Chapter 20 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Third Edition, pp. 301-320, 2009
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Updated: May 1, 2017
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