531-540 MCQ in Facial Plastic and Reconstructive Surgery

531-540

531) Which of the following areas represented in the drawing of the MOUTH below indicates the MESIAL side of the tooth?


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

532) Which of the following treatments is CORRECT for frostbite of the auricle?

A. Rapid rewarming with moist cotton pledgets at a warm-water temperature of 40º C for 20 minutes.
B. Rubbing first with snow then rapid rewarming with moist cotton pledgets at a warm-water temperature of 40º C for 20 minutes.
C. Slow rewarming with moist cotton pledgets, first at a warm-water temperature of 35º C for 20 minutes, then at 40º C for 20 minutes.
D. Slow rewarming with moist cotton pledgets at a warm-water temperature of 35º C for 30 minutes.
E. Exposure to radiant heat until defrosting occurs

533) Which of the following pigmented lesions is the MOST invasive with the POOREST prognosis?

A. Lentigo maligna
B. Superficial spreading melanoma
C. Nodular melanoma
D. Acral lentiginous melanoma
E. Blue nevi

534) A patient has a malignant melanoma in the cheek area with a 3 mm thickness. The current recommended margin for adequate resection is?

A. 0.5 cm
B. 1.0 cm
C. 2.0 cm
D. 2.5 cm
E. 3.0 cm

535) Which of the following facial areas is NOT considered high-risk for aggressive cutaneous malignancies?

A. Preauricular
B. Postauricular
C. Nose
D. Cheek
E. Columella

536) Which of the following facial areas is the MOST common location for recurrence of cutaneous malignancies?

A. Temple
B. Ear
C. Periorbital
D. Nose
E. Scalp

537) Which of the following statements about gold weight implantation used in the upper eyelid for facial paralysis is FALSE?

A. Gold weight implantation is a lid loading and gravity-dependent procedure.
B. Gold weight implantation has a high success rate and low complication rate.
C. Gold weight implantation can be performed under local anesthesia.
D. Gold weight implantation usually leaves a visible bump on the upper eyelid when it is closed.
E. Gold weight implantation is placed in a pocket with the sides of the two fenestrations facing caudally.

538) Which of the following combinations of hair and skin color is the LEAST conducive to hair replacement techniques?

A. Blond hair and pale skin
B. Dark hair and dark skin
C. Salt and pepper hair and dark skin
D. Red hair and light skin
E. Dark hair and light skin

539) Which of the following patients is MOST LIKELY to be discouraged from hair transplantation?

A. 20 year-old male
B. 30 year-old male
C. 40 year-old male
D. 50 year-old male
E. 60 year-old male

540) Which of the following statements about Rhinoplasty complications is FALSE?

A. The incidence of postoperative rhinoplasty complications is around 12%.
B. There are complications related to underresection.
C. There are complications related to overesection, usually associated with scarring.
D. As a general rule, revision rhinoplasty is not recommended until at least 1 year after the original procedure.
E. Complications related to excessive reduction are usually the easiest to correct.


ANSWERS & REFERENCES


531) C     C

Sykes J. M.: Orthognatic Surgery, Chapter 67, Head and Neck Surgery – Otolaryngology, (Bailey), Volume I, Lippincott Williams & Wilkins, Third Edition, p. 844, 2001

532) A     Rapid rewarming with moist cotton pledgets at a warm-water temperature of 40º C for 20 minutes.

Calhoun K. H.: Auricular Trauma, Chapter 62 Head and Neck Surgery – Otolaryngology, (Bailey), Volume I, Lippincott Williams & Wilkins, Third Edition, pp. 738-739, 2001

Jordan J. R., Calhoun K. H.: Management of Soft Tissue and Auricular Trauma, Chapter 67 Head and Neck Surgery – Otolaryngology, (Bailey), Volume I, Lippincott Williams & Wilkins, 4th Edition, pp. 935-948, 2006

533) C     Nodular melanoma

Myers J. N., Nemecheck A. J.: Malignant Melanoma, Chapter 104 Head and Neck Surgery – Otolaryngology, (Bailey), Volume II, Lippincott Williams & Wilkins, Third Edition, pp. 1237-1238,
2001

Myers J. N., Nemecheck A. J.: Malignant Melanoma, Chapter 106 Head and Neck Surgery – Otolaryngology, (Bailey), Volume II, Lippincott Williams & Wilkins, 4th Edition, pp. 1469-1479,
2006

534) C     2.0 cm

Myers J. N., Nemecheck A. J.: Malignant Melanoma, Chapter 104 Head and Neck Surgery – Otolaryngology, (Bailey), Volume II, Lippincott Williams & Wilkins, Third Edition, pp. 1241-1244, 2001

Myers J. N., Nemecheck A. J.: Malignant Melanoma, Chapter 106 Head and Neck Surgery – Otolaryngology, (Bailey), Volume II, Lippincott Williams & Wilkins, 4th Edition, pp. 1469-1479,
2006

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. 497-500, 2002

http://emedicine.medscape.com/article/1100753-treatment

535) D     Cheek

Stucker F. J., Nathan C. O., Lian T. S.: Cutaneous Malignancy Chapter 103 Head and Neck Surgery – Otolaryngology, (Bailey), Volume II, Lippincott Williams & Wilkins, Third Edition, pp. 1228-1229, 2001

Stucker F. J., Nathan C. O., Lian T. S.: Cutaneous Malignancy Chapter 105 Head and Neck Surgery – Otolaryngology, (Bailey), Volume II, Lippincott Williams & Wilkins, 4th Edition, pp. 1455-1468, 2006

536) D     Nose

Stucker F. J., Nathan C. O., Lian T. S.: Cutaneous Malignancy Chapter 103 Head and Neck Surgery – Otolaryngology, (Bailey), Volume II, Lippincott Williams & Wilkins, Third Edition, pp. 1228-1229, 2001

Stucker F. J., Nathan C. O., Lian T. S.: Cutaneous Malignancy Chapter 105 Head and Neck Surgery – Otolaryngology, (Bailey), Volume II, Lippincott Williams & Wilkins, 4th Edition, pp. 1455-1468, 2006

537) E     Gold weight implantation is placed in a pocket with the sides of the two fenestrations facing caudally.

Clark J. M., Shockley W. W.: Management and Reanimation of the Paralyzed Face, Chapter 53 Facial Plastic and Reconstructive Surgery, (Papel, Nachlas), Mosby, p. 666, 1992

Clark J. M., Shockley W. W.: Management of the Paralyzed Face, Chapter 63 Facial Plastic and Reconstructive Surgery, (Papel, Nachlas), Thieme, Third Edition, pp. 869-894, 2009

538) E     Dark hair and light skin

Stough D., Whitworth J. M.: Hair Replacement Techniques, Chapter 26, Facial Plastic and Reconstructive Surgery, (Papel, Nachlas), Mosby, p. 301, 1992

Rousso d. E., Sule S., Stough D., Whitworth J. M.: Hair Replacement Techniques, Chapter 33, Facial Plastic and Reconstructive Surgery, (Papel, I. , editor), Thieme, Third Edition, pp. 409-420, 2009

539) A     20 year-old male

Stough D., Whitworth J. M.: Hair Replacement Techniques, Chapter 26 Facial Plastic and Reconstructive Surgery, (Papel, Nachlas), Mosby, p. 302, 1992

Rousso d. E., Sule S., Stough D., Whitworth J. M.: Hair Replacement Techniques, Chapter 33, Facial Plastic and Reconstructive Surgery, (Papel, I. , editor), Thieme, Third Edition, pp. 409-420, 2009

540) E     Complications related to excessive reduction are usually the easiest to correct.

Becker D. G.: Complications of Rhinoplasty, Chapter 39 Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Second edition (Ira Papel, editor) pP. 452-460, 2002

Becker D. G.: Complications of Rhinoplasty, Chapter 49 Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) pp. 639-648 , 2009

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Updated: June 1, 2017