Monday, March 29, 2010

561-570 MCQ in Facial Plastic and Reconstructive Surgery

561-570

561) The reconstructive lip repair represented in the drawing UTILIZES which of the following flaps?


A. Karapandzic flap
B. Abbé flap
C. Estlander flap
D. Webster flap
E. Gillies flap

562) Which of the following lasers achieves the GREATEST depth of penetration?

A. CO2
B. Er:YAG
C. Nd:YAG
D. Ruby/Alexandrite
E. Pulsed Dye

563) The term “angle of domal divergence ”signifies a measurement of

A. Rotation
B. Projection
C. Definition
D. Both, rotation and projection
E. Interdomal distance

564) Which of the following is THE RECOMMENDED closing technique in GBLC (Geometric Broken Line Closure) and/or running W-plasty?

A. Gillies sutures
B. Interrupted sutures
C. Running locking sutures
D. Vertical mattress sutures
E. Horizontal mattress sutures

565) Which of the following statements is UNCARACTERISTIC of the African American nose?

A. Acute nasolabial angle
B. Underrotated nasal tip
C. Broad and flattened dorsum
D. Acute alar dome angle
E. Flat and round tip

566) Which of the following statements is TRUE about local anesthetics?.

A. Local anesthetics do not cross the blood-brain barrier.
B. Local anesthetics agents contain a water-soluble benzene aromatic ring connected to a hydrophilic amine by an intermediate chain
C. Amides are degraded by hepatic carboxylesterase
D. Local anesthetics physiologic activity is a function of their water solubility

E. Amides are the most common group involved in allergic reactions.

567) Which of the following statements is TRUE about the local anesthetic, lidocaine?

A. It has a vasocontrictor action.
B. It has a slow onset.
C. It has a duration of action of approximately 120 minutes.
D. The maximum single dose without epinephrine is approximately 600 mg for adults.
E. It is an ester anesthetic agent.


568) Which of the following antibiotics is CONTRAINDICATED with the use of BOTOX?

A. Penicillin
B. Cleocin
C. Aminoglycoside
D. Cephalosporin
E. Erythomicin

569) Which is of the following is the MOST common cause of PROTRUDING EARS?

A. Lack of antihelical fold
B. Prominent concha
C. Prominent cauda helicis and lobule
D. Superior aspect of the helix folded downward
E. Antitragus and tragus abnormalities

570) Which of the following statements is TRUE about the African American nose?

A. The nasolabial angle is usually 90 degrees
B. The ratio of columella to nasal tip lobule is 1:1 or 1.5: 1.
C. The nasal skin is usually thin.
D. The nasal tip projection is usually adequate.
E. Alar hooding is extremely rare.


ANSWERS & REFERENCES


561) E     Gillies flap

Cheney M. L.: Anesthesia for Facial Plastic and Reconstructive Surgery in Facial Surgery Plastic and Reconstructive, Williams and Wilkins, pp. 434-447, 1997

DeFatta R. J., Williams III E. F.: Lip Reconstruction, Chapter 61 in Facial Plastic and Reconstructive Surgery, Third Edition, (Papel I. D., editor), 2009 , pp. 841-854

562) C     Nd:YAG

Pearlman S.J., Chernoff W. G.: Laser resurfacing of the face: analysis and diagnosis in Aesthetic Analysis, Facial Plastic Surgery Clinic of North America, (Tardy Jr. M. E., editor), Saunders, Vol. 11, No. 3, , pp. 335-347, 2003

563) E     Interdomal distance

Rohrich R.J., Adams WP Jr.: The boxy nasal tip: classification and management based on alar cartilage suturing techniques, Plastic Reconstructive Surgery, 2001 June, 107 (7): 1849-1863; discussion 1864-1868

564) C     Running locking sutures

Thomas R. J.: Geometric-broken line closure, chapter 15 in Facial Scars, Incision, Revision and Camouflage (Thomas J. R., Holt G. R., editors), Mosby, pp. 160-167, 1989

565) D     Acute alar dome angle

Porter J. P.: Non-Caucasian rhinoplasty: preoperative analysis in Aesthetic Analysis, Facial Plastic Surgery Clinic of North America, (Tardy Jr. M. E., editor), Saunders, Vol. 11, No. 3, , pp. 327-333, 2003

http://emedicine.medscape.com/article/840236-overview

566) C     Amides are degraded by hepatic carboxylesterase

Liu S. S., Lin Yi: Local Anesthetics, Chapter 21 in Clinical Anesthesia, Barash, Paul G.; Cullen, Bruce F.; Stoelting, Robert K.; Cahalan, Michael K.; Stock, M. Christine, Lippincott Williams & Wilkins, 6th Edition, 2009, pp. 531-547

http://emedicine.medscape.com/article/873879-overview

567) C     It has a duration of action of approximately 120 minutes.

Ehlert T.K., Arnold D.E.: Local anesthesia for soft tissue surgery, Facial Plastic Surgery, Otolaryngologic Clinics of North America, Vol. 23, No. 5, pp. 831-844, 1990

Liu S. S., Lin Yi: Local Anesthetics, Chapter 21 in Clinical Anesthesia, Barash, Paul G.; Cullen, Bruce F.; Stoelting, Robert K.; Cahalan, Michael K.; Stock, M. Christine, Lippincott Williams & Wilkins, 6th Edition, 2009, pp. 531-547

568) C     Aminoglycoside

Dayan S. H.: Evaluation of the patient for cosmetic Botox injections in Aesthetic Analysis, Facial Plastic Surgery Clinic of North America, (Tardy Jr. M. E., editor), Saunders, Vol. 11, No. 3, , pp. 349-358, 2003

Meyer T. K., Blitzer A.: Botulinum Toxin for Facial Wrinkles, Chapter 30 in Facial Plastic and Reconstructive Surgery, Third Edition, (Papel I. D., editor), 2009 , pp. 369-377

569) A     Lack of antihelical fold

Becker D. G., Lai S.S., Schipor I., Becker S. S., Analysis in otoplasty in Facial Plastic Surgery Clinics of North America, Aesthetic Analysis, (Tardy Jr. M. E, editor), Saunders, Vol. 11, No. 3, p. 298, 2003

http://emedicine.medscape.com/article/839886-overview

570) B     The ratio of columella to nasal tip lobule is 1:1 or 1.5: 1.

Porter J. P.: Non-Caucasian rhinoplasty: preoperative analysis in Aesthetic Analysis, Facial Plastic Surgery Clinic of North America, (Tardy Jr. M. E., editor), Saunders, Vol. 11, No. 3, , pp. 327-333, 2003

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Updated: June 1, 2017

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