631) The drawing below depicts the final result after closing a scalp defect. WHICH OF THE FOLLOWING FLAPS IS REPRESENTED?
A. Bilobed flap
B. O-T flap
C. A-T flap
D. Bilateral Z-plasty
E. Bilateral rotation
632) Which of the following sensory nerve is the ONE that will produce tip numbness after rhinoplasty?
A. Supratrochlear branch of the ophthalmic nerve
B. Infratrochlear branch of the ophthalmic nerve
C. Supratrochlear and infratrochlear branches of the ophthalmic nerve
D. External nasal branch of the anterior ethmoidal nerve
E. Infraorbital branches of the maxillary nerve
633) Which of the following statements about nasal osteotomies is FALSE?
A. They are used to straighten an asymmetrical nasal pyramid.
B. Medial osteotomies are usually done first.
C. Intermediate osteotomies are done after lateral osteotomies.
D. Lateral osteotomies are done through a stab incision at the level of the attachment of the inferior turbinate.
E. Lateral osteotomies can be accomplished transcutaneously using a 2-mm straight osteotome.
634) Which of the following statements regarding the management of pediatric facial fractures is INCORRECT?
A. Most mandibular fractures can be managed with intermaxillary fixation.
B. Intermaxillary Fixation is usually maintained for 8 weeks.
C. Open reduction and internal fixation are reserved for severely comminuted or displaced fractures.
D. Ivy loops are adequate for intermaxillary fixation between the upper and lower jow.
E. Reduction and fixation should be done early, usually within the first 72 hours.
635) Which of the following defects can be closed with a TRIPLE RHOMBOID Flap?
A. A triangular defect
B. A fusiform defect
C. A rectangular defect
D. A circular defect
E. A rhomboid defect
636) Which of the following PHARYNGEAL ARCHES forms the MAXILLARY PROCESS?
A. Arch 1
B. Arch 2
C. Arch 3
D. Arch 4
E. Arch 5
637) Which of the following locations is IDEAL for the use of TISSUE EXPANDERS?
A. Scalp
B. Cheek
C. Nose
D. Neck
E. Temple
638) Which of the following COMPLICATIONS can most likely be prevented by identifying the lacrimal gland and avoiding fat removal from the lateral area of the upper eyelids during the performance of blepharoplasty?
A. Hooding of the lateral canthus
B. Tear deficiency
C. Persistent fat bulging
D. Blepharoptosis
E. Eyebrow ptosis
639) What AMOUNT OF BLOOD can a medical leech remove during its active feeding period?
A. 1.5 ml
B. 2.5 ml
C. 3.5 ml
D. 4.5 ml
E. 5.5 ml
640) Which of the following statements about RHINOPHYMA is TRUE?
A. It is more common in female patients.
B. It is more common in Asians.
C. It represents the fourth stage of evolving rosacea.
D. The only accepted surgical treatment is the CO2 Laser.
E. Its major histological findings involve decreased dermal thicknening and vascularity.
ANSWERS & REFERENCES
631) E Bilateral rotation
Hicks D. L., Watson D.: Soft Tissue Reconstruction of the Forehead and Temple, Local Cutaneous Flaps, (Park S.S., editor), Facial Plastic Surgery Clinics of North America, Vol. 13, No. 2, May 2005, pp.243-251
632) D External nasal branch of the anterior ethmoidal nerve
Oneal R. M., Beil R. J. Beil, Jr., Schhesinger J.: Surgical Anatomy of the Nose, in Rhinoplasty and Septoplasty, ( Park and Holt, editors), in Otolaryngology Clinics of North America, Saunders, Vol. 32, No. 1, pp.145-181, 1999
633) C Intermediate osteotomies are done after lateral osteotomies.
Most S. P., Murakami C. S.: A modern approach to nasal osteotomies, Facial Plastic Surgery Clinics of North America, Seminal Review Issue (Regan Thomas, J, editor), February 2005, Vol. 13, No. 1, pp.85—92
Most S. P., Murakami C. S., Larrabee Jr. W. F.: Surgery of the Bony Nasal Vault, Chapter 42 in Facial Plastic and Reconstructive Surgery, Thieme, Third Edition, (Papel, I, editor), 2009, pp. 547-553
634) B Intermaxillary Fixation is usually maintained for 8 weeks.
Koltai P. J.: Pediatric Facial Fractures, Chapter 92 in Head and Neck Surgery - Otolaryngology, (Bailey), Volume I, Lippincott Williams & Wilkins, Third Edition, pp. 1105-1115, 2001
Doerr T. D., Mathog R. H.: Le Fort Fractures (Maxillary Fractures), Chapter 71 in Facial Plastic and Reconstructive Surgery, Thieme, Third Edition, (Papel, I, editor), 2009, pp. 991-1000
635) D A circular defect
Larrabee, Jr. W.F.: Design of Local Skin Flaps, chapter 20 in Instructional Courses, American Academy of Otolaryngology-Head and Neck Surgery (Johnson, Blitzer, Ossoff, Thomas, editors),Vol. 3, pp. 252-273, 1990
636) A Arch 1
Goding G. S., Eisele D. W.: Embryology of the Face, Head and Neck, Chapter 62 in Facial Plastic and Reconstructive Surgery, Second Edition, (Papel I. D., editor), 2002 , pp.785-794
Goding G. S., Eisele D. W.: Embryology of the Head, Face and Neck, Chapter 73 in Facial Plastic and Reconstructive Surgery, Thieme, Third Edition, (Papel, I, editor), 2009, pp. 1019-1028
637) A Scalp
Hoffmann J. F.: Tissue Expansion in Reconstruction of the Head and Neck , Chapter 45 in Facial Plastic and Reconstructive Surgery, Second Edition, (Papel I. D., editor), 2002 , pp.549-559
Hoffmann J. F.: Tissue Expansion in Reconstruction of the Head and Neck , Chapter 55 in Facial Plastic and Reconstructive Surgery, Third Edition, (Papel I. D., editor), 2009 , pp. 745-756
638) B Tear deficiency
Wolfley D. E.: Blepharoplasty: The Ophthalmologist’s view, The aging face, (Tarddy Jr. M. E., editor), Otolaryngologic Clinics of North America, Vol. 13, N0, 2, May 1980, pp. 237-263
639) B 2.5 ml
Conforti M.L., Connor N.P., Heisey D.M., Harting G. K.: Evaluation of Performance Characteristics of the Medical Leech (Hirudo medicinalis) for the treatment of Venous congestion, Plastic and Reconstructive Surgery, January 2002, Vol. 109, No. 1, pp.228-235
640) C It represents the fourth stage of evolving rosacea.
Rohirch R.J., Griffin J. R., Adams Jr. W. P. : Rhinophyma: Review and Update, Plastic and Reconstructive Surgery, January 2002, Vol. 110, No. 3, pp. 860-869
http://emedicine.medscape.com/article/843957-overview
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Updated: June 15, 2017
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