Saturday, April 3, 2010

511-520 MCQ in Facial Plastic and Reconstructive Surgery

511-520

511) The drawing below represents a female brow position. Which of the following anatomical areas occupies A LESS THAN IDEAL POSITION?

A. A
B. B
C. C
D. D
E. E

512) Which of the following chemotherapeutic agents is the MOST active in the treatment of systemic malignant melanoma?

A. Interleukin-2
B. Interferon-alpha
C. Dacarbazine
D. Vincristine
E. Cisplastin

513) Which of the following facial defect shapes is BEST corrected using a Rotation Flap?

A. Circular
B. Square
C. Rectangular
D. Rhomboid
E. Triangular

514) Which of the following indicators is the MOST reproducible prognostic factor in malignant melanoma?

A. Clark level
B. Breslow thickness
C. Growth phase
D. Ulceration
E. Presence of tumor-infiltrating lymphocytes

515) Which of the following nasal areas has the THINNEST skin?

A. Nasion
B. Rhinion
C. Supratip
D. Tip
E. Columella

516) Which of the following statements about Facial Analysis for Rhinoplasty is CORRECT?

A. The nasofrontal angle connects the nasion to the trichion and the nasion to the nasal tip.
B. The ideal nasolabial angle in men is 110 degrees.
C. Adequate projection of the nose is present when 60% of the horizontal nasal projection lies anterior to the upper lip.
D. On lateral view the columella profile should have one or two breaks.
E. Columellar show measures 6 mm in the male patient.

517) Which of the following statements regarding base view analysis in Rhinoplasty is FALSE?

A. The nose should have a base view similar to an isosceles triangle.
B. The lobule is one third of the height of an isosceles triangle and the columella two thirds the height.
C. The width of the nostril should be about the same length as the width of the columella.
D. The nostrils should be symmetrical and pear shaped.
E. The nostrils should have, in the leptorrhine nose, their long axis oriented at a 30 degree-angle to the columella.

518) In the inflammatory phase of the wound healing when the MACROPHAGE is the PREDOMINANT cell in the wound?

A. At 12 hours
B. At 24 hours
C. At 72 hours
D. On the 5th day
E. On the 6th day

519) In the process of wound healing when the FIBROBLASTS appear in the wound?

A. At 12 hours
B. At 72 hours
C. On the 4th day
D. On the 5th day
E. On the 6th day

520) Which of the following percentages is the one corresponding to the tensile strength of scar tissue AFTER adequate wound healing?

A. 50% of the unwounded normal skin
B. 60% of the unwounded normal skin
C. 80% of the unwounded normal skin
D. 90% of the unwounded normal skin
E. 100% of the unwounded normal skin


ANSWERS & REFERENCES



511) E     E

Quatela V. C., Graham III, D. , Sabini P.: Rejuvenation of the Brow and Midface, Chapter 16, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) p. 173, 2002

Graham III, Quatela V. C., D. , Sabini P.: Rejuvenation of the Brow and Midface, Chapter 20, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 227, 2009


512) C     Dacarbazine

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) p. 500, 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) p. 692, 2009

513) E     Triangular

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. 34, 2002

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. 27, 2009

514) B     Breslow thickness

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. 496-497, 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

515) E     Columella

Orten S. S., Hilger P. A.: Facial Analysis of the Rhinoplasty Patient, Chapter 31, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp. 361-362, 2002

Boahene Kofi D.O., Orten S. S., Hilger P. A.: Facial Analysis of the Rhinoplasty Patient, Chapter 38, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) pp. 477-487, 2009

516) C     Adequate projection of the nose is present when 60% of the horizontal nasal projection lies anterior to the upper lip

Orten S. S., Hilger P. A.: Facial Analysis of the Rhinoplasty Patient, Chapter 31, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp. 364-365, 2002

Boahene Kofi D.O., Orten S. S., Hilger P. A.: Facial Analysis of the Rhinoplasty Patient, Chapter 38, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) pp. 477-487, 2009

517) E     The nostrils should have, in the leptorrhine nose, their long axis oriented at a 30 degree-angle to the columella.

Orten S. S., Hilger P. A.: Facial Analysis of the Rhinoplasty Patient, Chapter 31, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) p. 366, 2002

Boahene Kofi D.O., Orten S. S., Hilger P. A.: Facial Analysis of the Rhinoplasty Patient, Chapter 38, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) pp. 477-487, 2009

518) C     At 72 hours

Fisher E., Frodel Jr., J. L.: Wound Healing, Chapter 2, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp. 16-17, 2002

Fisher E., Frodel Jr., J. L.: Wound Healing, Chapter 2, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp. 15-25, 2009

519) B     At 72 hours

Fisher E., Frodel Jr., J. L.: Wound Healing, Chapter 2, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp. 16-19, 2002

Fisher E., Frodel Jr., J. L.: Wound Healing, Chapter 2, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp. 15-25, 2009

520) C     80% of the unwounded normal skin

Fisher E., Frodel Jr., J. L.: Wound Healing, Chapter 2, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp. 16-20, 2002

Fisher E., Frodel Jr., J. L.: Wound Healing, Chapter 2, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp. 15-25, 2009

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Updated: June 1, 2017

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