811-820 MCQ in Facial Plastic and Reconstructive Surgery

811-820

811) Which of the following eyelid structures (cross sectioned drawing below) is the ONE represented by the arrow?

A. Meibomian glands
B. Sweat glands
C. Gray line
D. Tarsus
E. Orbicularis muscle

812) Which of the following is the MOST COMMON cause of permanent Lagophthalmos?

A. Eyelid Laxity not corrected
B. Orbital Septum trauma with scarring
C. Eyelid incision healing with scarring and contracture
D. Excessive resection of upper eyelid skin
E. Suturing the Orbital Septum with skin closure sutures

813) A 15 year old boy suffered blunt neck trauma due to a bicycle handle bar injury. The physical examination and work up revealed massive endolaryngeal edema with airway obstruction, mucosal lacerations with exposed cartilage and an immobile left vocal cord. In which of the following classifications of laryngotracheal injury, according to the Schaeffer and Fuhrman, is the injury mentioned above included.?

A. I
B. II
C. III
D. IV
E. V

814) Which of the following facial scars is BETTER NOT revised

A. 4 cm linear scar within the common border of two aesthetic units
B. 4 cm linear scar perpendicular to the RSTLs
C. 4 cm scar, curved an pin-cushioned
D. 4 cm scar interrupting and crossing an aesthetic unit of the face
E. 4 cm linear scar causing distortion of the Lower Eyelid

815) Which of the following statements about Mohs Micrographic Surgery for Basal Cell Carcinoma is FALSE?

A. Mohs Technique is the ideal for treatment of initial Basal Cell Carcinoma.
B. Mohs Technique is ideal for treatment of Recurrent Basal Cell Carcinoma
C. Mohs technique sectioning allows to check 100% of the lateral and deep margins of the each specimen
D. Mohs Technique gives a high five year Cure Rate of 90%.
E. Mohs Technique removes the narrowest margin of tissue that is technically feasible.

816) Which of the following forehead and eyebrow lifting procedures will afford THE MOST ACCURATE AND THE GREATEST ELEVATION per millimeter of tissue excised?

A. Direct Eyebrow Lift
B. Midforehead Lift
C. Temporal Eyebrow Lift
D. Open Coronal Eyebrow and Forehead Lift
E. Pretichial Open Forehead Lift

817) Which of the following is NOT a characteristic of the Asian Nose?

A. Wide with strong Nasal Bones
B. Broad and flat Nasal Dorsum
C. Wide and flat Tip Cartilages
D. Limited Tip Projection
E. Wide Alar Base

818) Which of the following wait periods is APPROPRIATE prior to reconstruction of complex cutaneous facial defects after oncologic resection?

A. 3 months
B. 6 months
C. 8 months
D. 10 months
E. 12 months

819) Which of the following treatment options for the management of Facial Cutaneous Basal Cell Carcinoma is INCORRECT?

A. Electrodessication and curettage
B. Cryotherapy
C. Radiotherapy
D. Laser vaporization
E. Topical Imiquimod

820) Which of the following statements about Congenital Melanocytic Nevi is TRUE?

A. Congenital melanocytic nevi are present at birth in 3% of neonates.
B. Congenital melanocytic nevi are dark brown, round or oval in shape and always hairless.
C. Congenital melanocytic nevi from 10 to 15 cm. are considered large.
D. Congenital melanocitic nevi of large size will transform into melanoma in 30% of cases.
E. Congenital melanocytic nevi carry a risk of melanoma related to the age of the child.


ANSWERS & REFERENCES


811) A     Meibomian glands

Burkat C. N., Lemke B. N.: Anatomy of the Orbit and its related structures in Otolaryngologic Clinics of North America (Bosniak S. L., editor), Vol. 38, No. 5, October 2005, pp.825-856

Bersani T. A. , Courchesne M. C.: Post-traumatic Eyelid Deformities, Facial Trauma: Primary and Secondary Repair (Kellman R. M., Tatum III S. A., Marentette L. J., Guest Editors), Facial Plastic Surgery Clinics of North America, Nov. 1998, pp. 511-525

812) D     Excessive resection of upper eyelid skin

Quatela V. C., Russell Ries W.: Aesthetic Facial Surgery, chapter 24 in Complications in Head and Neck Surgery (Krespi and Ossoff, editors), 1993, pp.385-435

Pastorek N. J., Bustillo A.: Blepharoplasty, chapter 176 in Head and Neck Surgery-Otolaryngology, (Bailey, B.J., editor), 4th edition, Lippincott Williams & Wilkins, 2006, pp. 2611-2625

813) C     III

Link D. T., Cotton R. T.: The Laryngotracheal Complex in Pediatric Head and Neck Trauma, Facial Plastic Surgery Clinics of North America, Pediatric Head and Neck Trauma, (Rothschild M.A, editor) Vol. 7, No. 2, May 1999, pp. 133-144

814) A     4 cm linear scar within the common border of two aesthetic units

Jones M. E., Costantino P.: Pediatric Scar Revision, Facial Plastic Surgery Clinics of North America, Pediatric Head and Neck Trauma, (Rothschild M.A, editor) Vol. 7, No. 2, May 1999, pp. 243-252

815) D      Mohs Technique gives a high five year Cure Rate of 90%.

Lang, Jr. P.G.: Mohs Micrographic Surgery for Basal Cell Carcinoma , Advances in Mohs Surgery, (Dzubow, L. M., editor) , Facial Plastic Surgery Clinics of North America, August 1998, Vol.6, No.3, pp.275-295

Hendrix Jr. 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, Thieme, 2009, pp. 675-702

816) A        Direct Eyebrow Lift 

Hoenig J. A.: Comprehensive Management of Eyebrow and Forehead Ptosis, in Otolaryngologic Clinics of North America (Bosniak S. L., editor), Vol. 38, No. 5, October 2005, pp.947-984

817) A     Wide with strong Nasal Bones

Strahan R. W., Perrott D. H.: Rhinoplasty of the Asian Nose using autogenous cartilage augmentation techniques (McCurdy Jr. J. A.., editor) , Facial Plastic Surgery Clinics of North America, February 1996, Vol.4, No.1, pp.63-73

Jang Y. J.: Asian Rhinoplasty, Chapter 48 in Facial Plastic and Reconstructive Surgery (Papel, I. D. , editor), Third edition, Thieme, 2009, pp. 619-637

http://emedicine.medscape.com/article/1293426-overview

818) E     12 months

Cordoro K. M., Russell M. A.: Minimally Invasive Options for Cutaneous Defects: Secondary Intention Healing, Partial Closure and Skin Grafts in Local Cutaneous Flaps ( Park S. S., editor) , Facial Plastic Surgery Clinics of North America, May 2005, Vol.13, No.2, pp.215-230


819) D     Laser vaporization

Padgett J. K.: Cutaneous Lesions: Benign and Malignant in Local Cutaneous Flaps ( Park S. S., editor) , Facial Plastic Surgery Clinics of North America, May 2005, Vol.13, No.2, pp.195-202

Hendrix Jr. 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, Thieme, 2009, pp. 675-702

820) E     Congenital melanocytic nevi carry a risk of melanoma related to the age of the child.

Padgett J. K.: Cutaneous Lesions: Benign and Malignant in Local Cutaneous Flaps ( Park S. S., editor) , Facial Plastic Surgery Clinics of North America, May 2005, Vol.13, No.2, pp.195-202

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Updated: June 25, 2017