501-510 MCQ in Facial Plastic and Reconstructive Surgery

501-510

501) The drawing below REPRESENTS a:



A. Vertical mattress closure
B. Horizontal mattress closure
C. Subcutaneous interrupted closure
D. Interrupted intradermal subcuticular closure
E. Horizontal half-buried mattress closure

502) Which of following instruments is RARELY used in soft tissue facial plastic surgery?

A. Double skin hooks
B. Brown-Adson tissue forceps
C. Bishop-Harman tissue forceps
D. No. 10 knife blades
E. Webster needle holder

503) Which of the following statements represents INCORRECT TECHNIQUE for closure of excisions in facial soft tissue surgery?

A. Equalize the sides of the incision by “Halving”.
B. Equalize the sides of the incision with a “Burrow triangle”
C. Sutures must provide eversion and tension relief.
D. Use simple interrupted chromic gut sutures.
E. Use steri strips to reinforce the wound and to relieve further wound tension.

504) Which of the following techniques for scar revision IS CORRECTLY described?

A. Simple Fusiform Excision - ideally the angles should be greater than 60 degrees.
B. Serial Excision - A period of 12 weeks is required between excisions.
C. Z-Plasty - The arms should be 1.5 cm for the face.
D. W-Plasty - This scar revision will produce wound lengthening.
E. Geometric Broken Line Closure - It is easier to perform than W-Plasty.

505) Which of the following wrinkles CANNOT adequately treated with Botox?

A. Horizontal forehead lines
B. Glabellar vertical lines
C. Glabellar horizontal lines
D. Lateral orbital lines (crow’s feet)
E. Actinic damage lines

506) Which of the following dosages is the MEDIAN LETHAL DOSE (LD50) of Botox for an adult person weighing 70 Kg?

A. 500 units
B. 1000 units
C. 2000 units
D. 3000 units
E. 4000 units

507) Which of the following statements is FALSE about Open Rhinoplasty?

A. A high transverse transcolumellar incision is recommended.
B. The Gull Wing Incision heals with a more favorable scar than the V-shaped Incision.
C. It provides better surgical exposure.
D. It is ideal in cases of Revision Rhinoplasty and Cleft Nose Repair.
E. 5-0 prolene sutures are used to close the columellar incision.

508) A 72 year old female is referred to you with a biopsy diagnosis of Merkel Cell carcinoma located in the skin over the left temple area. The lesion is firm, raised and ulcerated, measuring 1. 5 cm. in diameter What is the BEST treatment option for this particular patient?

A. Curettage and electrodessication
B. Wide local excision
C. Wide local excision and prophylactic lymphadenectomy
D. Chemotherapy
E. Radiation therapy

509) Which of the following is the IDEAL medium for storage and transport of an avulsed tooth prior to replantation in its socket?

A. Cold Milk
B. Cool tap water
C. Sterile normal saline
D. Sterile half normal saline
E. Hipertonic solution of glucose

510) Which of the following complications of dermabrasion is the MOST COMMON in dermabrasion?

A. Milia
B. Hyperpigmentation
C. Hypopigmentation
D. Postoperative herpetic infection
E. Scarring


ANSWERS & REFERENCES


501) E     Horizontal half-buried mattress closure

Cook T. A., Guida R. A., Burke A.J.C.: Soft Tissue Techniques, Chapter 3, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) p. 31, 2002

Cook T. A., Guida R. A., Burke A.J.C.: Soft Tissue Techniques, Chapter 3, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 33, 2009

502) D     No. 10 knife blades

Cook T. A., Guida R. A., Burke A.J.C.: Soft Tissue Techniques, Chapter 3, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) p. 31, 2002

Cook T. A., Guida R. A., Burke A.J.C.: Soft Tissue Techniques, Chapter 3, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 28, 2009

503) D     Use simple interrupted chromic gut sutures.

Cook T. A., Guida R. A., Burke A. J.C.: Soft Tissue Techniques, Chapter 3, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp. 29-33, 2002

Cook T. A., Guida R. A., Burke A.J.C.: Soft Tissue Techniques, Chapter 3, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) pp. 27-39, 2009

504) B     Serial Excision - A period of 12 weeks is required between excisions.

Kokoska M. S., Thomas J. R.: Scar Revision, Chapter 5 in Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp. 57-59, 2002

Kokoska M. S., Thomas J. R.: Scar Revision, Chapter 5 in Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) pp. 59-65, 2009

505) E     Actinic damage lines

Blitzer A., Binder W. J., Brin M. F.: Botulinum Exotoxin A (Botox) for Facial Wrinkles, Chapter 23 Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp. 262-263, 2002

Meyer T. K., Blitzer A.: Botulinum Exotoxin A (Botox) for Facial Wrinkles, Chapter 30 Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) pp. 369-377, 2009

506) D     3000 units

http://emedicine.medscape.com/article/1271380-overview

Monhian N., Ahn M.S., Maas C. S.: Injectable and Implantable Materials for Facial Wrinkles, Chapter 22 Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) p. 257, 2002

Meyer T. K., Blitzer A.: Botulinium Toxin for Facial Wrinkles, Chapter 30 Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 370, 2009

507) A     A high transverse transcolumellar incision is recommended.

Adamson P. A., Huang H.: Open Rhinoplasty, Chapter 33, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp. 390-400, 2002

Adamson P. A., Litner J. A.: Open Rhinoplasty, Chapter 41, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) pp. 390-400, 2009

508) B     Wide local excision

Hendrix J. D., Slingluff C.L.: Cutaneous Malignancies: Diagnosis and Treatment, Chapter 42, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp. 503-504, 2002

Hendrix J. D., Slingluff C.L.: Cutaneous Malignancies: Diagnosis and Treatment, Chapter 52, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) pp. 675-702, 2009

509) A     Cold Milk

Garza J. R.: Mandibular Fractures, Chapter 61 Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) p. 781, 2002

Garza J. R.: Mandibular Fractures, Chapter 72 Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 1013, 2009

510) A     Milia

http://emedicine.medscape.com/article/1126231-treatment

Mandy S. H., Monheit G. D.: Dermabrasion and Chemical Peels, Chapter 20, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp. 226-227, 2002

Mandy S. H., Monheit G. D.: Dermabrasion and Chemical Peels, Chapter 25, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) pp. 301-320, 2009

-------------------------------------
Updated: June 1, 2017