781-790 MCQ in Facial Plastic and Reconstructive Surgery

781-790

781) The suture represented in the drawing below will achieve which of the following rhinoplasty effects?
A. Projection
B. Underprojection
C. Rotation
D. Underotation
E. Flaring

782) Which of the following facial areas has FIRST PRIORITY for reconstruction after burns to the face?

A. Eyelids
B. Ears
C. Cheeks
D. Nose
E. Forehead

783) Which of the following facial areas has LEAST PRIORITY for reconstruction after burns to the face?

A. Eyelids
B. Ears
C. Cheeks
D. Nose
E. Forehead

784) Which of the following measures is NOT INDICATED in the management of postoperative orbital hemorraghe after Blepharoplasty?

A. Elevation of the head of the patient’s bed
B. Ice pack compresses
C. Lateral Canthotomy and Inferior Cantholysis
D. Dexamethasone
E. Mannitol

785) Which of the following statements regarding skin staples in FALSE?

A. They are made of stainless steel
B. They are used in hair-bearing areas of the scalp
C. They do not evert the skin edges
D. They are minimally reactive
E. They can be left in place up to 14 days without complications

786) Which of the following techniques use a semicircular rotational myocutaneous flap from the lateral canthal region to repair a lower or upper eyelid defect of up to 50% of the eyelid margin?

A. Primary closure associated with Lateral Canthotomy and Inferior Cantholysis
B. Tenzel Technique
C. Hughes Technique
D. Cutler-Beard Technique
E. Leone Technique

787) Which of the following statements regarding the management of the oriental blepharoplasty is FALSE?

A. Most patients will prefer a small fold instead of the caucasion eyelid fold.
B. The closed technique carries more chance of postoperative asymmetry.
C. The closed technique will not recreate the crease in one third of patients.
D. The closed technique works better if performed on thin eyelids.
E. The open technique carries less chance of a postoperative puffy fold appearance.

788) Which of following operative goals in Non-Caucasian Rhinoplasty is INCORRECT?

A. Increase nasal projection
B. Decrease alar flare
C. Narrow nasal base
D. Augment dorsum
E. Decrease anterior nasal spine

789) Which of the following statements regarding electrical injury in children is FALSE?

A. Electrical injury occurs most commonly under 4 years of age.
B. Partial-thickness lateral commisure burns are usual.
C. Intense edema is followed by sloughing of necrotic tissue and bleeding
D. Commisure splinting can be useful for 6-12 months
E. Reconstruction is done by the release of scar tissue and placement of local flap from the ipsilateral side.

790) Which of the following is the IV FLUID OF CHOICE in Adult Burn Replacement Therapy?

A. Lactated Ringer’s solution
B. Normal saline solution
C. Half normal saline solution
D. 5% dextrose in water
E. Dextran


ANSWERS & REFERENCES


781) A     Projection

Pastorek N. J.: The Large Nose in Current Therapy in Otolaryngology-Head and Neck Surgery, Sixth Edition, (Gates, G.A., editor), Mosby, 1998, pp.157-164

Nolst Trenité G.J.: Surgery of the Nasal Tip Intranasal Approach, Chapter 44 in in Facial Plastic and Reconstructive Surgery (Papel I, editor), Third edition, 2009, pp. 563-576

782) A     Eyelids

Young V. L., Bartell T. H.: Burns of the face in: Facial Scars, Incision, Revision and Camouflage,(Tomas J. R. & Holt G. R, editors), Mosby, 1989, pp.229-270

783) B     Ears

Young V. L., Bartell T. H.: Burns of the face in: Facial Scars, Incision, Revision and Camouflage,(Tomas J. R. & Holt G. R, editors), Mosby, 1989, pp.229-270

Abrams M. J., Shumrich K. A.: Facial Burns, Case 79 in Otolaryngology, A case Study Approach (Tami, Seiden, Pensak, Gluckman, Cotton, editors), 1998, pp.289-292

784) B     Ice pack compresses

Shumrich K. A., Kersten R. C.: Eyelid Surgery Postoperative Complication, Case 74 in Otolaryngology, A case Study Approach (Tami, Seiden, Pensak, Gluckman, Cotton, editors), 1998, pp.271-273

785) C     They do not evert the skin edges

Thomas J. R.: Wound Closure Materials in Facial Scars, Incision, Revision and Camouflage,(Tomas J. R. & Holt G. R, editors), Mosby, 1989, pp.69-74

786) B     Tenzel Technique

Kaltreider S. A.: Periocular Reconstruction, Chapter 52 in Facial Plastic and Reconstructive Surgery (Papel I, editor), second edition, 2002, pp. 646-659

Kaltreider S. A.: Periocular Reconstruction, Chapter 62 in Facial Plastic and Reconstructive Surgery (Papel I, editor), Third edition, 2009, pp. 855-867

787) B     The closed technique carries more chance of postoperative asymmetry.

Choi A. K.: Oriental Blepharoplasty: Nonincisional Suture Technique versus Conventional Incisional Technique, Facial Plastic Surgery, Vol. 10 No. 1, January 1994, pp. 67-83

788) E     Decrease anterior nasal spine

Toriumi D. M., Sykes J. M., Johnson C. M.: Open Structure Rhinoplasty for Management of the Non-Caucasian Nose, Operative Techniques in Otolaryngology-Head and Neck Surgery, Vol. 1, No.4, Dec. 1990, pp. 225-233

789) B     Partial-thickness lateral commisure burns are usual.

Hill D. P.: Electrical, Cold, Chemical, and Thermal Injury, Biological Basis of Facial Plastic Surgery, pp. 174-180

790) A     Lactated Ringer’s solution

Hill D. P.: Electrical, Cold, Chemical, and Thermal Injury, Biological Basis of Facial Plastic Surgery, pp. 174-180


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Updated: June 15, 2017