Thursday, February 4, 2010

981-990 MCQ in Facial Plastic and Reconstructive Surgery

981-990

981) The drawing below represents the right bony orbit. Which of the following anatomical structures DOES NOT pass through the opening indicated by the arrow?
A. Oculomotor Nerve
B. Trochlear Nerve
C. Abducens Nerve
D. Infraorbital Nerve
E. V1 Nerve

982) Which of the following free tissue transfer flaps used for Head and Neck Reconstruction is considered IDEAL for total mandibular reconstruction?

A. Fibula Osteocutaneous Free Flap
B. Scapular Osteocutaneous Free Flap
C. Iliac Crest Osteocutaneous Flap
D. Radius Osteocutaneous Free Flap
E. Rib Osteocutaneous Free Flap

983) Which of the following in the adult male patient represents INCORRECT motivation for Cosmetic Plastic Surgery?

A. Internal motivation
B. A clear disfigurement noted by patient and surgeon
C. Occupational appearance important to the patient
D. Corrective surgery planned for a short time
E. Aging adequately but patient wants to look younger

984) Which of the following surgical incisions is MOST commonly used in the correction of Craniofacial Deformities?

A. Bilateral Rhitidectomy Incision
B. Bilateral Lateral Rhinotomy with infraorbital extension
C. Bicoronal Insicion
D. Midface Degloving Incision and Bilateral Brow Incision
E. Bilateral Intraoral Buccal Incision

985) Which of the following is the CORRECT plane of elevation for the Forehead Flap?

A. Subcutaneous
B. Subgaleal
C. Subperiosteal
D. Between the Frontalis Muscle and the subcutaneous layer
E. Between the Frontalis Muscle and the Galea Aponeurosis

986) Which of the following indicates the LOCATION in the Orbit of the Optic Foramen?

A. Greater Wing of the Sphenoid
B. Lesser Wing of the Sphenoid
C. Orbital Roof of the Frontal Bone
D. Lateral Orbital Wall of the Orbit
E. Medial Orbital Wall of the Posterior Ethmoid

987) Which of the following areas is MOST commonly complicated by skin flap necrosis in Rhytidectomy?

A. Temporal
B. Preauricular
C. Postauricular
D. Midcheek
E. Submental

988) Which of the following represents ADEQUATE management of a displaced fracture of the Body of the Mandible in a 7 year old patient.?

A. Soft diet, analgesics and antibiotics
B. Closed reduction with fixation using Orthodontic Splints.
C. Open reduction with Ivy Loop Fixation
D. Open reduction with Maxillomandibular Fixation
E. Open reduction with Miniplates Fixation

989) Which of the following examinations is MOST likely to detect ocular damage after Argon laser?

A. Fluorescein Eye Drops
B. Direct Eye Fundus evaluation
C. Corneal and Conjuntival Under Magnification
D. Refraction evaluation
E. Slit Lamp evaluation

990) Which of the following statements about the Radial Forearm Flap is FALSE?

A. It is a Fascial Flap.
B. It is a Fasciocutaneous Flap.
C. It can be harvested with or without bone.
D. It is based on the Radial and Ulnar Arteries.
E. It is a sensate flap.

ANSWERS & REFERENCES


981) D      Infraorbital Nerve

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

982) A     Fibula Osteocutaneous Free 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

Genden E. M., Buchbinder D., Urken M.L.: Mandible Recontruction and Osseointegrated Implants, Chapter 48 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Second Edition, pp.591-600, 2002

983) D     Corrective surgery planned for a short time

http://www.emedicine.com/plastic/topic36.htm

984) C     Bicoronal Insicion

Vander Kokk C. A., Carson B. S., Guarnieri M.: Craniomaxillofacial Deformities, Chapter 63 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Second Edition, pp. 795-802, 2002

985) B     Subgaleal

Park S. S.: Local and Regional Cutenous Flaps, Chapter 44 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Second Edition, pp. 540-542, 2002

Park S. S.: Local and Regional Cutenous Flaps, Chapter 54 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Third Edition, pp. 721-743, 2009

986) B     Lesser Wing of the Sphenoid

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

987) C     Postauricular

Perkins S., Dayan S.: Rhytidectomy, Chapter 15 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Second Edition, pp. 167-170, 2002

Perkins S., Naderi S.: Rhytidectomy, Chapter 19 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Second Edition, pp. 207-225, 2009

Clevens R. A.: Avoiding Patient Dissatisfaction and Complications in Facelift Surgery, Facelift: Current Approaches, Facial Plastic Surgery Clinics of North America (Prendiville S.,Guest Editor), Nov. 2009, Vol. 17, No. 4, pp. 515-530

988) B     Closed reduction with fixation using Orthodontic Splints.

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

989) B     Direct Eye Fundus evaluation

Russell Ries W., Powitzky E. S.: Lasers in Facial Plastic Surgery, Chapter 8 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Second Edition, pp. 79-95, 2002

Russell Ries W., Wittkopf M.: Lasers in Facial Plastic Surgery, Chapter 10 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Third Edition, pp. 99-118, 2009

http://emedicine.medscape.com/article/1120837-overview

990) D      It is based on the Radial and Ulnar Arteries.

Chepeha D. B., Teknos T. N.: Microvacular Free Flaps in Head and Neck Reconstruction, Chapter 162 in Head & Neck Surgery-Otolaryngology, (Bialey B.J, editor), Third Edition, 2001, pp.2045-2047

Burkey B.B., Coleman Jr., J. R.: Microvascular Flaps, Chapter 47 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Second Edition, 2002, pp.569-571

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

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Updated: July 25, 2017

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