Tuesday, March 23, 2010

621-630 MCQ in Facial Plastic and Reconstructive Surgery

621-630

621) Which of the following indicates the SENSORY INNERVATION of the areas represented by the TWO ARROWS?


A. Auriculotemporal nerve
B. Auricular nerve
C. Greater Auricular nerve
D. Lesser Occipital nerve Greater
E. Occipital nerve

622) Which of the following statements about the frontal hairline is FALSE?

A. Never place the hairline below the superior border of the upper third of the face.
B. Higher hairline position is better than lower position.
C. The adult male hair line should have a gentle convex curve.
D. The distance of the hair line from the midglabelar point should be less than 7 cm.
E. Micrografts are mandatory for the frontal hairline.

623) Which of the following statements about cervicofacial rhytidectomy is FALSE?

A. Flap elevation is done in the superficial subcutaneous plane.
B. Plication and Imbrication will decrease closing tension on the skin flap.
C. Skin redraping has a superior-posterior component.
D. Surgical staples are used in the temporal and mastoid regions.
E. Suctioning has proven better than penrose drains with compression dressings.

624) Which of the following percentages represents the melanomas originating from previous existing moles?

A. 5%
B. 20%
C. 40%
D. 70%
E. 90%

625) To which level of the Clark's system does a facial melanoma anatomically filling the papillary dermis, but no extension in to the reticular (lower) dermis belong?

A. Level I
B. Level II
C. Level III
D. Level IV
E. Level V

626) Which of the following statements about Hair Replacement Surgery is INCORRECT?

A. Standard round grafts are 4-mm punch graft.
B. Micrografts contain 1-2 hairs.
C. Minigrafts contain 10-12 hairs.
D. Micrografs are used in the anterior portion of the hairline.
E. Minigrafts are used in the crown.

627) Which of the following local flaps IS NOT an option for FOREHEAD RECONSTRUCTION?

A. V-to -Y advancement
B. Rhombic transposition
C. Purse-string closure reduction techniques
D. Serial excision
E. Glabellar

628) What is the maximal percentage of a full thickness upper eyelid defect that can be reconstructed by using THE TENZEL FLAP?

A. 10 %
B. 20 %
C. 30 %
D. 50 %
E. 70 %

629) Which of the following TREATMENTS IS INCORRECT in the initial management of FACIAL BURNS?

A. The head of the adult represents 9% of the total body surface area to be considered for treatment
B. Tracheotomy rather than intubation.
C. Cleansing and debridement
D. Silver Sulfadiazine topical
E. Skin-grafting

630) Which of the following IS THE MOST COMMON etiology for loss of eyebrow hair?

A. Trauma
B. Body piercing
C. Trichotillomania
D. Endocrinopathies
E. Congenital aplasia


ANSWERS & REFERENCES


621) A     Auriculotemporal nerve

Nachlas N. E.: Otoplasty, in Chapter 27, Facial Plastic and Reconstructive Surgery, Second Edition, Thieme (Papel, I., editor), 2002, pp. 309-311

Nachlas N. E.: Otoplasty, in Chapter 34, Facial Plastic and Reconstructive Surgery, Third Edition, Thieme (Papel, I., editor), 2009, pp. 421-433

622) D     The distance of the hair line from the midglabelar point should be less than 7 cm.

Otolaryngology, (Paparella, Schumrick, Gluckman, Meyerhoff, editors), Saunders, Vol. IV, Plastic and Reconstructive Surgery and Interrelated Disciplines, Third Edition, pp. 2639-2645, 1991

623) E     Suctioning has proven better than penrose drains with compression dressings.

Adamson P. A., Moran M. L.: Complications of Cervicofacial Rhytidectomy in FaceLift, (Beeson, W.H., editor), Facial Plastic Surgery Clinics of North America, Vol. 1, No. 2, pp. 257-261, 1993

624) D    70%

Medina J. E.: Malignant Melanoma of the Head and Neck, Facial Skin Malignancy I, Otolaryngologic Clinics of North America, Saunders, Vol. 26, No. 1, pp. 73-74, 1993

625) C     Level III

Wolf G. T., Sullivan M. J.: Management of Head and Neck Malanoma, Chapter 25 in Otolaryngology-Head and Neck Surgery, (Cummings, Fredrickson, Harker, Krause, Schuller, Mosby, Second Edition, Volume 1, pp.424-425, 1993

http://emedicine.medscape.com/article/1295718-overview#aw2aab6b6

626) C     Minigrafts contain 10-12 hairs.

Buchwach K. A.: Standard Grafts, Minigrafts, and Micrografts, Their Use in Hair Transplantation, Facial Plastic Surgery Clinics of North America , Hair Replacement Surgery, (Konior R.J. and Rousso D. E. ., editors), May 1994, Vol. 2, No. 2, pp. 149-161

627) E     Glabellar

Ling E. H., Wang T.D.: Local Flaps in Forehead and Temporal Reconstruction in Facial Plastic Surgery Clinics of North America, Local Skin Flaps, Vol. 4, No. 4, pp.469-478, 1996

628) D     50 %

Howard G., Hochman M.: Local Flaps in Periorbital Reconstruction, Facial Plastic Surgery Clinics of North America, Local Skin Flaps, Vol. 4, No. 4, pp. 481-489

Millay D. J. , Larrabee Jr., Wl F.: Eyelid Reconstruction, Chapter 43 in Facial Plastic and Reconstructive Surgery (Papel, & Nachlas, editors), Mosby, pp. 399-406, 1992

629) B     Tracheotomy rather than intubation.

Young V. L., Bartell T.H.: Burns of the face, chapter 19 in Facial Scars, Incision, Revision and Camouflage (Thomas J. R. & Holt G. R., editors), Mosby, 229-270

Gibson F. B.: Management of Soft-Tissue Trauma, chapter 64, Head and Neck Surgery – Otolaryngology, (Bailey), Volume I, Lippincott Williams & Wilkins, Third Edition, pp. 761-763, 2001

630) A     Trauma

Gandelman M. , Epstein J.S.: Hair transplantation to the eyebrow, eyelashes and other parts of the body, Facial Plastic Surgery Clinics of North America , Hair Restoration and Removal, (Epstein J. S., editor), May 2004, Vol. 12, N0 2, pp.253-261

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Updated: June 15, 2017

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