581-590
581) Which of the following anatomic structures represented in the drawing below is the ONE INDICATED BETWEEN THE TWO ARROWS? Click the picture to enlarge image
A. Lavetor palpebrae superiorisB. Müller muscle
C. Orbital septum
D. Orbital rim
E. Superior rectus muscle
582) Which of the following is the single MOST important vital sign to monitor in the ambulatory surgical setting?
A. Blood oxigen
B. Heart rate
C. EKG (electrocardiogram)
D. Temperature
E. Arterial blood pressure
583) Which of the following local anesthetics is an ESTER agent?
A. Procaine
B. Lidocaine
C. Bupivacaine
D. Etidocaine
E. Mepivacaine
584) The toxicity of local anesthetics is MOST COMMONLY RELATED to which of the following systems?
A. Cardiovascular system
B. Central Nervous System
C. Respiratory System
D. Renal System
E. Hepatic System
585) Which of the following questions is NOT APPROPIATE in a facial plastic evaluation?
A. What changes are you hoping to accomplish?
B. How long have you been thinking about the operation?
C. Why do you want the surgery performed?
D. I see that you need a nose job. Don't you agree?
E. Have you had any other cosmetic procedures?
586) Which of the following statements about the Staircase Flap used to reconstruct lower lip defects is FALSE?
A. The unilateral Staircase Flap is useful for lateral lower lip defects of 2 cm or less.
B. The Bilateral Staircase Flap is useful for middle and lower lip defects exceeding 2 cm.
C. This flap demonstrates wide versatility in closing defects comprising 60% of the lower lip
D. 2-4 steps are necessary for adequate closing when employing this flap.
E. Avoidance of microstomia is one of the advantages of this flap.
587) Which of the following IS DESCRIBED as that part of the nose above the nostrils as viewed from the below?
A. Tip of the nose
B. Tip defining point
C. Lobule
D. Scroll
E. Subnasale
588) Which of the following aesthetic complications is related to postsurgical otoplasty and is defined by excessive conchal setback with protrusion of the upper and lower poles of the auricle?
A. Overcorrection
B. Prominent tragus
C. Prominent lobule
D. Telephone
E. Reverse telephone
589) The Frankfort Line is DEFINED by:
A. A line drawn from the inferior aspect of the bony external auditory canal to the inferior most aspect of the infraorbital rim on a lateral radiograph.
B. A line drawn from the superior aspect of the bony external auditory canal to the inferior most aspect of the infraorbital rim on a lateral radiograph.
C. A line drawn from the superior aspect of the bony external auditory canal to the eyelash lines on the lower eyelid.
D. A line drawn from the superior aspect of the helix to the inferior most aspect of the infraorbital rim on a lateral radiograph.
E. A line drawn from the inferior aspect of the tragus to the inferior most aspect of the infraorbital rim on a lateral radiograph.
590) Which of the following is the MOST significant inconvenience of using the costal cartilage for nasal augmentation?
A. Infection
B. Displacement
C. Warping
D. Surface irregularities
E. Resorption
ANSWERS & REFERENCES
581) B Müller muscle
Graney D. O., Baker S. R.: Anatomy, Chapter 21 in Otolaryngology Head and Neck Surgery, (Cummings, Fredrickson, Harker, Krause, Richardson, Schuller, editors), Volume One, Third Edition, Mosby, pp. 403-412, 1998
Graham III H.D., Duplechain G: Anesthesia in Facial Plastic Surgery, chapter 1 in Facial Plastic Surgery, (Willet J. M., editor), Appleton & Lange, pp. 11-12, 1997
Graham III H.D., Duplechain G: Anesthesia in Facial Plastic Surgery, chapter 1 in Facial Plastic Surgery, (Willet J. M., editor), Appleton & Lange, pp. 12-14, 1997
http://emedicine.medscape.com/article/1127490-overview
584) B Central Nervous System
Graham III H.D., Duplechain G: Anesthesia in Facial Plastic Surgery, chapter 1 in Facial Plastic Surgery, (Willet J. M., editor), Appleton & Lange, pp. 12-26, 1997
Fletcher M. V.: Anesthesia in Facial Plastic Surgery, Chapter 17 in Facial Plastic and Reconstructive Surgery (Papel I. D., editor), Third Edition, 2009, pp. 189-197
585) D I see that you need a nose job. Don't you agree?
Maloney B. P.: The Plastic Surgery Consultation chapter 3 in Facial Plastic Surgery, (Willet J. M., editor), Appleton & Lange, pp. 27--29, 1997
586) E Avoidance of microstomia is one of the advantages of this flap.
Ellis D. A.F., Gullane P. J.: Cosmetic and Reconstructive Lip Surgery, chapter 23 in Instructional Courses, American Academy of Otolaryngology Head and Neck Surgery, (Johnson, Blitzer, Ossoff, Thomas, editors) , Volume 1, pp.269-271, 1988
587) C Lobule
Willet J. M.: Treatment of the Nasal Tip, chapter 8 in Facial Plastic Surgery, (Willet J. M., editor), Appleton & Lange, pp. 67-68, 1997
588) D Telephone
Adamson P. A., Kraus W. M., Strecker H. D.: Aesthetic Otoplasty, chapter 35 in Facial Plastic Surgery, (Willet J. M., editor), Appleton & Lange, pp.338-339, 1997
589) B A line drawn from the superior aspect of the bony external auditory canal to the inferior most aspect of the infraorbital rim on a lateral radiograph.
Ridley M. B.: Aesthetic Facial Proportions, chapter 11 in Facial Plastic and Reconstructive Surgery (Papel and Nachlas, editors), first edition, Mosby Year Book, p. 109, 1992
Willett J. M: How to Assess the Nose for Rhinoplasty, chapter 4 in in Facial Plastic Surgery, (Willet J. M., editor), Appleton & Lange, pp. 33-35, 1997
Ridley M. B., VanHook S. M.: Aesthetic Facial Proportions, chapter 9 in Facial Plastic and Reconstructive Surgery (Papel, editor), second edition Thieme, p. 101, 2002
Quatela V. C., Goldman N. D.: Nasal Augmentation, chapter 10 in Facial Plastic Surgery, (Willet J. M., editor), Appleton & Lange, pp. 85-90, 1997
http://emedicine.medscape.com/article/881443-overview
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Updated: June 1, 2017
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