Thursday, March 25, 2010

601-610 MCQ in Facial Plastic and Reconstructive Surgery

601-610

601) Which of the following statements about the reconstruction flap used shown is TRUE?

A. Two rotation flaps are used.
B. Two advancement flaps are used.
C. Two transposition flaps are used.
D. One rotation and one transposition flap is used.
E. One transposition and one advancement flap is used.

602) Which of following statements about the anatomy of the temporal region is FALSE?

A. The superficial temporalis fascia and the temporoparietal fascia are synonymous terms for the same fascia.
B. The temporoparietal fascia is located immediately beneath the skin and subcutaneous fat.
C. The temporal artery and vein travel inferiorly to the temporoparietal fascia.
D. The temporoparietal fascia is continuous with the SMAS in the lower face.
E. The deep temporal fascia is considered the true temporalis fascia.

603) Which of following with respect to the Asian Nose is INCORRECT?

A. Low dorsum
B. Flaring nostrils
C. Retracted columella
D. Retracted ala
E. Bulbous thick nasal tip skin

604) Which of the following statements about WOUND HEALING is TRUE?

A. Polymorphonuclear leukocytes appear after 72 hours.
B. Macrophages are predominant in the first 36 hours.
C. Granulation tissue appears on day # 4.
D. Fibroblasts appear in the wound in the first 24 hours.
E. Wound contraction initiates 3 weeks after injury.

605) Which of the following is NOT USEFUL in the postoperative prevention of vessel thrombosis in free-tissue transfer of microvascular flaps?

A. Aspirin
B. Dextran
C. Statins
D. Prednisone
E. Heparin

606) Which of the following measurements represents the MAXIMUM BONE SEGMENT AVAILABLE in a FIBULAR OSTEOCUTANEOUS FREE FLAP?

A. 15 cm
B. 20 cm
C. 25 cm
D. 30 cm
E. 35 cm

607) Which of the following statements about MICRODERMABRASION is TRUE?

A. Hypopigmentation is a common complication.
B. It can be used safely on the neck.
C. Adjunctive use of isotretinoin is not a contraindication.
D. It is comparable to a medium-depth peel.
E. It is ideal in treating deep wrinkles and thick scars

608) Which of the following statements with respect to the African American Nose is TRUE?

A. Nasolabial angle approximately 90 degrees
B. Thin skin and subcutaneous fibro fatty tissue
C. Absent anterior nasal spine
D. Non-flaring nostrils
E. Convex nasal bones

609) Which of the following complications is MOST COMMONLY seen in bipolar radiofrequency resurfacing?

A. Hyperpigmentation
B. Hypopigmentation
C. Herpetic infections
D. Bacterial infections
E. Persistent erythema

610) In which of the following areas will DEEP PLANE RHYTIDECTOMY address PRIMARILY THE LAXITY problem?

A. Submental area
B. Platysma area
C. Submandibular area
D. Ptotic buccal fat pad area
E. Buccolabial area


ANSWERS & REFERENCES


601) C     Two transposition flaps are used.

Baker S. R.:: Reconstruction of Facial Defects, Chapter 27 in Otolaryngology Head and Neck Surgery, (Cummings, Fredrickson, Harker, Krause, Richardson, Schuller, editors), Volume One, Third Edition, Mosby, pp. 527-533, 1998

Park S. S.: Local and Regional Cutaneous Flaps, in Chapter 54, Facial Plastic and Reconstructive Surgery, Third Edition, Thieme (Papel, I., editor), 2009, pp. 721-743

Baker S. R.: Reconstruction of Facial Defects, chapter 24 in Cummings Otolaryngology-Head and Neck Surgery, Fifth edition, Volume one, Mosby Elsevier, 2010, pp.342-363

602) C     The temporal artery and vein travel inferiorly to the temporoparietal fascia.

Quatela V. C., Graham III D., Sabini P.: Rejuvenation of the Brow and Midface, chapter 16 in Facial Plastic and Reconstructive Surgery, (Papel, I. D., editor), Thieme, second edition, 2002, pp. 171-172

Graham III H. D., Quatela V. C., Sabini P.: Endoscopic Approach to the Brow and Midface, in Chapter 20, Facial Plastic and Reconstructive Surgery, Third Edition, Thieme (Papel, I., editor), 2009, pp. 227-241

Larrabee W. F. Jr., Makielski K. H., Cupp C.: Facelift Anatomy in FaceLift, Facial Plastic Surgery Clinics of North America, (Beeson, W.H., editor), Vol. 1, No. 2, pp. 13-141, 1993

603) D     Retracted ala

Matsunaga R. S.: Augmentation Rhinoplasty of Asian Noses, Surgery in the Asian Patient in Facial Plastic Surgery Clinics of North America, (McCurdy, Jr, J.A., editor), Vol. 4, No. 1, pp. 75-80, 1996

McCurdy Jr. J. A.: Cosmetic Surgery of the Asian Face, Cosmetic Surgery of the Asian Face, in Chapter 35, Facial Plastic and Reconstructive Surgery, Third Edition, Thieme (Papel, I., editor), 2009, pp. 435-458

Park S. S., Jin H.: Noncaucasian Rhinoplasty, 38 in Cummings Otolaryngology-Head and Neck Surgery, Fifth edition, Volume one, Mosby Elsevier, 2010, pp. 568-579

604) C     Granulation tissue appears on day # 4.

Fisher E., Frodel Jr, J. L.: Wound Healing, Chapter 2 in Facial Plastic and Reconstructive Surgery, Thieme, Second Edition, (Papel, I, editor), 2002, pp. 15-20

Fisher E., Frodel Jr, J. L.: Wound Healing, Chapter 2, in Facial Plastic and Reconstructive Surgery, Third Edition, Thieme (Papel, I., editor), 2009, pp. 15-25

605) C     Statins

Burkey B. B., Coleman Jr., J. R.: Microvascular Flaps, in Chapter 47, Facial Plastic and Reconstructive Surgery, Second Edition, Thieme (Papel, I., editor), pp. 567-571, 2002

Burkey B. B., Schmalbach C. E., Coleman Jr., J. R.: Microvascular Flaps, in Chapter 57, Facial Plastic and Reconstructive Surgery, Third Edition, Thieme (Papel, I., editor), 2009, pp. 578-581

606) C     25 cm

Burkey B. B., Coleman Jr., J. R.: Microvascular Flaps, in Chapter 47, Facial Plastic and Reconstructive Surgery, Second Edition, Thieme (Papel, I., editor), pp. 567-571, 2002

Burkey B. B., Schmalbach C. E., Coleman Jr., J. R.: Microvascular Flaps, in Chapter 57, Facial Plastic and Reconstructive Surgery, Third Edition, Thieme (Papel, I., editor), 2009, pp. 578-581

607) B     It can be used safely on the neck.

Koch R. J., Hanasono M. M.: Microdermabrasion, Minimally Invasive Surgery, Facial Plastic Surgery Clinics of North America, , (Koch R. J., editor), Vol. 9, No. 3, pp. 377-382, 2001

Freeman M. S.: Microdermabrasion, Facial Rejuvenation Nonsurgical Modalities, Facial Plastic Surgery Clinics of North America, ( Dee Anna Glaser., editor), Vol. 9, No. 2 , pp. 257-266, 2001

608) C     Absent anterior nasal spine

Stucker F. J., Lian T., Sanders K.: African American Rhinoplasty in Facial Plastic Surgery Clinics of North America (Porter, J. P., editor) , pp. 369-376, 2002

609) A     Hyperpigmentation

Carniol P. J., Maas C. S.: Bipolar Radiofrequency Resurfacing, Minimally Invasive Surgery, Facial Plastic Surgery Clinics of North America, , (Koch R. J., editor), Vol. 9, No. 3, pp. 337-349, 2001

610) E     Buccolabial area

Beeson W. H. : Extended Posterior Rhytidectomy in FaceLift, Facial Plastic Surgery Clinics of North America, (Beeson, W.H., editor), Vol. 1, No. 2, pp. 215-216, 1993

http://emedicine.medscape.com/article/841704-overview

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Updated: June 1, 2017

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