Sunday, March 28, 2010

571-580 MCQ in Facial Plastic and Reconstructive Surgery

571-580

571) The mandible fracture represented below is DEFINED as:


A. Type I , favorable
B. Type II, favorable
C. Type II, unfavorable
D. Type III, favorable
E. Type III, unfavorable

572) Which of the following will trigger the MOST “concern” from a surgeon’s point of view?

A. “Doctor, I would like you to remove the wrinkles around my eyes and mouth”.
B. The patient has seen two previous surgeons in order to gather information and make a decision about who he will choose to do his surgery.
C. The patient has internal motivation or personal reasons for surgery.
D. The patient has external motivation or spouse related reasons for surgery
E. The patient has been thinking about cosmetic surgery over a significant period of time.

573) Which of the following medications is NOT BENEFICIAL in the treatment of iatrogenic hyperpigmentation?

A. Tetracycline
B. Hydroquinone
C. Tretinoin
D. Azelaic acid
E. Kojic acid

574) Which of the following skin lesions is BEST treated with 5-fluorouracil (5-FU)?

A. Superficial basal cell carcinoma
B. Actinic keratoses
C. Seborrheic keratosis
D. Dermatosis papulosa nigra
E. Epidermal nevus

575) Which of the following statements is TRUE regarding HYPOPIGMENTATION in Resurfacing or Peeling procedures?

A. Hypopigmentation occurs as frequently as hyperpigmentation.
B. Usually resolves with hydroquinone 4% cream.
C. Usually seen in the first 2 weeks post-resurfacing or post-peeling.
D. It is most likely temporary.
E. It is usually permanent.

576) Which of the following statements is TRUE about the male frontal hairline in hair restoration surgery?

A. The frontal hairline is restored basically with six-hair minigrafts.
B. The frontal hairline is better lower than higher.
C. The frontal hairline should look almost horizontal from the top and oval from the profile view.
D. The frontal hairline should begin 5 cm from the upper aspect of the brow.
E. The frontal hairline is better higher than lower.

577) Which of the following regarding the Baker-Gordon chemical peeling formula is INCORRECT?

A. Should be prepared fresh before each use
B. Phenol 88%, 3 ml
C. Croton oil, 3 drops
D. Septisol, 8 drops
E. Distilled water, 8 ml

578) Your patient , is a 40 year old female who has just had an inferior subciliary blepharoplasty and is complaining of a severe left eye pain immediately after her arrival to the recovery room. Both vision and intraocular pressure are normal. There is mild bruising around both eyes but no evidence of gross hematoma. The next step in the management of this patient is:

A. Close observation with visual checks ups
B. Open the surgical wound
C. Lateral canthotomy
D. Medial canthotomy
E. Fluorescein test

579) Which of the following IONS IS BLOCKED by local anesthetic agents?

A. Potassium
B. Sodium
C. Sodium and potassium
D. Calcium
E. Magnesium

580) Which of the following statement regarding laser principles is FALSE ?

A. The wavelength is the distance between two successive peaks of the wave.
B. The amplitude is the height of the peak and is related to the intensity of the light.
C. Frequency, or the period of the light wave, is the amount of the time require for one full wave cycle.
D. All lasers contain a power source, a laser medium, an optical cavity and a delivery system.
E. Power density increases proportionally with the diameter (spot size) of the laser system.


ANSWERS & REFERENCES



571) C     Type II, unfavorable

Li K. K., Weber A., Cheney M. L.: Mandibular fractures chapter 11 in Facial Surgery Plastic and Reconstructive, (Cheney, M.L.,editor), Williams and Wilkins, pp. 179-192, 1997

572) D     The patient has external motivation or spouse related reasons for surgery.

Powell D., Hobgood T.: Detection and management of the unstable patient in Facial Plastic Surgery Clinics of North America, Aesthetic Analysis, ( Tardy Jr. M. E, editor), Saunders, Vol. 11, No. 3, pp. 307-318, 2003

573) A     Tetracycline

Spenceri E. A.: Disorders of Pigmentation in Facial Plastic Surgery Clinics of North America, Dermatology for the Facial Plastic Surgeon, (Hruza G. J., editor), Vol. 11, No. 2, pp. 209-217, 2003

Sexton C. R., Rubin M.G.: New Concepts in the treatment of Facial Hyperpigmentation, chapter 21 in Facial Plastic Surgery (Willett J. M., editor), Appleton and Lange, pp. 197-206, 1997

574) B     Actinic keratoses

Ammirati C. T., Ioffreda M.D. , Hruza G. J.: Malignant tumors of the keratinocytes and adnexae in Facial Plastic Surgery Clinics of North America, Dermatology for the Facial Plastic Surgeon, (Hruza G. J., editor), Saunders, Vol. 11, No. 2, 141-163, 2003

Hendrix J. D., Slingluff C. L.: Diagnosis and Treatment of Cutaneous Malignancies, Chapter 52 in Facial Plastic and Reconstructive Surgery, Third Edition, (Papel I. D., editor), 2009 , pp. 675-702

575) E     It is usually permanent.

Weinstein C., Roberts T. L.: Aesthetic Skin Resurfacing with the High-Energy Ultrapulsed CO2 Laser, in Clinics in Plastic Surgery, Facial Aesthetic Surgery, (Menick F.J. , editor), Saunders, Vol. 24, No. 2, pp. 379-405, 1997

Carniol P. J., Harmon C. B., Hamilton M. M.: Ablative Laser Facial Skin Rejuvenation, Chapter 26 in Facial Plastic and Reconstructive Surgery, Third Edition, (Papel I. D., editor), 2009 , pp. 321-330

576) E     The frontal hairline is better higher than lower.

Kabaker S. S., Macdonald M. R.: Hair Restoration Surgery, Chapter 30 in Otolaryngology Head and Neck Surgery, (Cummings, Fredrickson, Harker, Krause, Richardson, Schuller, editors), Volume One, Third Edition, Mosby, pp. 603-605, 1998

577) E     Distilled water, 8 ml

Alford E. L, Porter J. P.: Chemical Peel, Chapter 32 in Otolaryngology Head and Neck Surgery, (Cummings, Fredrickson, Harker, Krause, Richardson, Schuller, editors), Volume One, Third Edition, Mosby, p. 645, 1998

Mandy S. H., Monheit G. D. : Dermabrasion and Chemical Peels, Chapter 25 in Facial Plastic and Reconstructive Surgery, Third Edition, (Papel I. D., editor), 2009 , pp. 301-320

578) E     Fluorescein test

Colton J. J., Beekhuis G. J..: Blepharoplasty, Chapter 35 in Otolaryngology Head and Neck Surgery, (Cummings, Fredrickson, Harker, Krause, Richardson, Schuller, editors), Volume One, Third Edition, Mosby, p. 696, 1998

579) B     Sodium

Murakami C. S., Khosch M. M.: Local Anesthesia in Facial Plastic Surgery, Chapter 28 in Otolaryngology Head and Neck Surgery, (Cummings, Fredrickson, Harker, Krause, Richardson, Schuller, editors), Volume One, Third Edition, Mosby, p. 561, 1998

Fletcher M. V.: Anesthesia in Facial Plastic Surgery, Chapter 17 in Facial Plastic and Reconstructive Surgery, Third Edition, (Papel I. D., editor), 2009 , pp. 189-197

580) E     Power density increases proportionally with the diameter (spot size) of the laser system.

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

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

No comments: