591-600 MCQ in Facial Plastic and Reconstructive Surgery

591-600

591) Which of the following full-thickness skin graft donor sites is the LEAST recommended for reconstruction of facial defects?


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

592) Which of the following locations is that region overlying the zygomatic arch (“danger zone”) where injury to the temporal branch of the facial nerve is MOST likely?

A. It is between 1.5 cm anterior to the helical root and 1 cm posterior to the anterior end of the arch.
B. It is between 1 cm anterior to the helical root and 1.5 cm posterior to the anterior end of the arch.
C. It is between 2.5 cm anterior to the helical root and 2.5 cm posterior to the anterior end of the arch.
D. It is between 1.8 cm anterior to the helical root and 2 cm posterior to the anterior end of the arch.
E. It is between 2 cm anterior to the helical root and 1.8 cm posterior to the anterior end of the arch.

593) Which of the following REVISION RHINOPLASTY techniques is INCORRECTLY applied?

A. Bulbous or wide nasal tip – cephalic reduction
B. Midnasal asymmetry and narrowing – spreader grafts
C. Alar retraction – composite grafts
D. Ptotic nose – domal truncation
E. Inadequate tip projection – tip grafts

594) Which of the following statements regarding COMPLICATIONS of local anesthesia is TRUE?

A. True allergic reactions are common.
B. The amide class of local anesthetics is the most commonly implicated.
C. Most fatalities are due to drug overdose rather than allergic reaction.
D. Most complications involve the pulmonary system.
E. The initial symptoms of local anesthetic toxicity are nystagmus and seizures.

595) Which of the following statements about "giant"congenital melanocytic nevi is TRUE?

A. To be classified as “giant” the size should be 10 cm or greater.
B. The development of malignant melanoma is approximately 50%.
C. “Giant” congenital melanocytic nevi are seldom hairy.
D. Complete surgical excision is recommended.
E. Laser vaporization is an adequate alternative to surgical excision.

596) Which of the following statements regarding care after unilateral cleft lip repair is FALSE?

A. The incision should be cleaned with 3% H2O2 and the antibiotic ointment.
B. Arm restraints are used for 3 weeks following the surgical procedure.
C. Feed during the first 48 hours with an ear bulb syringe then proceed with the usual nursing bottle.
D. All sutures are removed on day 7
E. Steri-strips should be applied for 6 weeks after the sutures are removed.

597) Which of the following statements regarding management of electrical burns to the mouth is FALSE?

A. The most common site is the lateral commisure.
B. Primary debridement and reconstruction is recommended.
C. Delayed eschar demarcation, then reconstruction is advisable.
D. Oral splinting as early as possible is recommended in order to prevent contracture.
E. Running W-plasty is the most common scar revision technique used in this particular situation

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

A. Lidocaine is an ester anesthetic agent.
B. Ester anesthetic agents are most likely to cause allergic reactions.
C. Cocaine is a very effective in providing topical anesthesia as well as marked vasodilatation.
D. EMLA is a mixture of lidocaine and bupivacaine and is used for topical dermal anesthesia.
E. Local anesthetic agents block potassium channels.

599) Which of the following teeth are NOT RECOMMENDED to be used for maxillomandibular fixation (MMF) on a long term basis?

A. Incisors
B. Canines
C. Premolars
D. First molars
E. Second molars

600) Which following statements is FALSE about LENTIGO SENILIS?

A. Lesions commonly occur around the fifth decade of life.
B. Lesions are most commonly located on the face and hands.
C. Potential malignant degeneration is high.
D. Lesions slowly increase in size, the color is uniform and dark brown and the outline is irregular
E. Lesions are best treated by chemical peeling.


ANSWERS & REFERENCES


591) A     A

Triana Jr. R. J., Murakami C. S., Larrabee Jr. W. F.: Skin Grafts and Local Flaps, Chapter 4 in Facial Plastic and Reconstructive Surgery (Papel, I. editor), Thieme, Third Edition, 2009, pp. 41-58

Hom D. B., Tope W. D.: Minimally Invasive Options and Skin Grafts for Cutaneous Reconstruction, Chapter 53 in Facial Plastic and Reconstructive Surgery (Papel, I. editor), Thieme, Third Edition, 2009, pp. 703-719

592) D    It is between 1.8 cm anterior to the helical root and 2 cm posterior to the anterior end of the arch

Beck Weinberger M. S., Becker D.G., Toriumi D.M.: Rhytidectomy, Chapter 33 in Otolaryngology Head and Neck Surgery, (Cummings, Fredrickson, Harker, Krause, Richardson, Schuller, editors), Volume One, Third Edition, Mosby, pp. 648-650, 1998

593) D     Ptotic nose – domal truncation

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

Kridel RWH, Konior RJ. Dome truncation for management of the overprojected nasal tip. Ann Plast Surg. 1990;24:385-396

594) C    Most fatalities are due to drug overdose rather than allergic reaction.

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, pp. 567-568, 1998

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

595) D     Complete surgical excision is recommended.

Collison D. W., Ceilley R. I.: Dermatologic Diseases in Pediatric Facial Plastic and Reconstructive Surgery, Chapter 22 in Pediatric Facial Plastic and Reconstructive Surgery (Smith J. D., Bumsted R.M., editors), Raven Press, pp. 349-352, 1993

596) C     Feed during the first 48 hours with an ear bulb syringe then proceed with the usual nursing bottle.

Bumsted R.M.: Management of Unilateral Cleft Lip, Pediatric Facial Plastic and Reconstructive Surgery, Chapter 10 in Pediatric Facial Plastic and Reconstructive Surgery (Smith J. D., Bumsted R.M., editors), Raven Press, pp. 144-145, 1993

597) E     Running W-plasty is the most common scar revision technique used in this particular situation.

Farrior R. T., Clark D. A.: Soft Tissue Trauma in Children, Chapter 18 in Pediatric Facial Plastic and Reconstructive Surgery, (Smith J. D., Bumsted R.M., editors), Raven Press, pp. 277-282, 1993

598) B     Ester anesthetic agents are most likely to cause allergic reactions.

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

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

599) A     Incisors

Stanley Jr., R.B.: Maxillofacial trauma, Chapter 24 in Otolaryngology Head and Neck Surgery, (Cummings, Fredrickson, Harker, Krause, Richardson, Schuller, editors), Volume One, Third Edition, Mosby, pp. 475-4835, 1998

600) C     Potential malignant degeneration is high.

Swanson N.A: Recognition and Treatment of Skin Lesions, Chapter 22 in Otolaryngology Head and Neck Surgery, (Cummings, Fredrickson, Harker, Krause, Richardson, Schuller, editors), Volume One, Third Edition, Mosby, pp. 421-422, 1998

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Updated: June 1, 2017