241) Which of the facial areas represented in the drawing below is the MOST resistant to fracture? Click the picture to enlarge image.
A. A
B. B
C. C
D. D
E. E
242) Several hours after a four-quadrant blepharoplasty (Subciliary approach) you are called by the patient’s husband and explains to you that his wife has a severe pain in to the left eye of 1-2 hours duration. You have just seen the patient. The physical examination does not reveal evidence of gross bleeding or hematoma. The eye is mildly swollen but not proptotic. The fluorescein test is negative. Which of the following diagnostic possibilities is the MOST likely?
A. Orbital hematoma
B. Corneal abrasion
C. Purulent conjuntivitis
D. Herpes virus conjuntivitis
E. Angle-closure glaucoma
243) Which of the following components of chemical peeling agents is a SURFACTANT which allows even penetration?
A. Septisol liquid soap
B. Croton oil
C. Lactic acid
D. Resorcinol
E. Salicylic acid
244) Which of the following statements is TRUE regarding facial liposuction?
A. The canula should be directed under the SMAS.
B. The lumen of the canula should be close to the skin.
C. The technique will correct fine rhytids and redundant lax skin.
D. The areas of greatest effectiveness are submental, submandibular and jowl.
E. Male patients are superior candidates for liposuction.
245) Which of the following tissue expander shapes provides the MOST effective gain in surface area?
A. Round
B. Rectangular
C. Pear-shaped
D. Cylindrical
E. Crescent
246) Which of the following statements regarding Zyplast is FALSE?
A. It is a glutaraldehyde cross-linked collagen with a concentration of 35 mg/ml.
B. It is less susceptible to collagenase degradation and less immunologic than Zyderm.
C. Overcorrection is necessary.
D. It is used mostly for correcting facial rhytids secondary to aging.
E. It is injected into the reticular dermis.
247) You are called to see one of your patients in the recovery room, 4 hours after a blepharoplasty procedure. After evaluation you suspect an orbital hematoma. Which of the following is the FIRST STEP in the treatment of this condition?
A. Open the surgical wound
B. Lateral canthotomy
C. Steroids and diuretics IV
D. Call an ophthalmologist
E. Orbital decompression
248) Which of the following surgical approaches is THE ONE used in the treatment of an isolated zygomatic arch fracture with no comminution?
A. Intraoral approach
B. Lateral Brow approach
C. Coronal approach
D. Hemicoronal approach
E. Gillies approach
249) In of the following categories of PHOTOAGING is a 53-year-old woman included who has Glogau Type III periorbital, perioral, forehead and cheek rhytids?
A. Early photoaging with wrinkles in motion
B. Advanced photoaging with wrinkles present at rest
C. Severe photoaging with only wrinkles visible
D. Early photoaging with no wrinkles
E. Severe photoaging but no wrinkles
250) Which following is the MOST USEFUL in the treatment of absolute hypopigmentation after chemical peeling?
A. Hydroquinone cream
B. Hydrocortisone cream
C. Use of sun-block daily
D. Camouflage cosmetics
E. Avoidance of direct sunlight
ANSWERS & REFERENCES
241) A A
Strong E. B., Sykes J. M.: Frontal Sinus and Naso-orbital-ethmoid Complex Fractures, Chapter 59 Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) p. 748, 2002
Strong E. B.: Frontal Sinus and Naso-orbital-ethmoid Complex Fractures, Chapter 70 Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 978, 2009
242) E Angle-closure glaucoma
Colton J. J., Beekhuis G. J.: Blepharoplasty, Chapter 35, Otolaryngology-Head and Neck Surgery, (Cummings, Fredrickson, Harker, Krause, Richardson, Schuller, editors), Mosby, Third Edition, Volume one, pp. 696, 1998
243) A Septisol liquid soap
Mandy S. H., Monheit G. D.: Dermabrasion and Chemical Peels, Chapter 20, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp. 235-239, 2002
Mandy S. H., Monheit G. D.: Dermabrasion and Chemical Peels, Chapter 25, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) pp. 301-320, 2009
Perkins S. W. , Sandel IV H. D.: Management of Aging Skin, chapter 27 in Cummings Otolaryngology-head and Neck Surgery, Fifth edition, Volume one, Mosby Elsevier, 2010, pp. 390-404
244) D The areas of greatest effectiveness are submental, submandibular and jowl.
Kridel R. W. H., Konior R. J.: Suction Lipectomy, Chapter 21, Facial Plastic and Reconstructive Surgery, (Papel, Nachlas), Mosby, pp. 184-191, 1992
Kridel R. W. H., Kelly P. E., Castellano R. D.: Liposuction of the Face and Neck: The Art of Facial Sculpture, Chapter 24, Facial Plastic and Reconstructive Surgery, (Ira Papel, editor), Thieme, Third Edition, pp. 286-300, 2009
Farrior E. H., Park S. S.: Liposuction, chapter 31 in Cummings Otolaryngology-Head and Neck Surgery, Fifth edition, Volume one, Mosby Elsevier, 2010, pp. 452-460
245) B Rectangular
Swenson R. W.: Tissue Expansion, Chapter 7, Facial Plastic and Reconstructive Surgery, (Papel, Nachlas), Mosby, pp. 56-67, 1992246) C Overcorrection is necessary.
Skouge J. W., Dwan R. V.: Soft Tissue Augmentation with Injectable Collagen, Chapter 24, Facial Plastic and Reconstructive Surgery, (Papel, Nachlas), Mosby, pp. 208-214, 1992
Maas C. S., Yu K. C. Y., Egan K. K.: Chapter 28, Neuromodulators and Injectable Soft Tissue Substitutes, Facial Plastic and Reconstructive Surgery, (Ira Papel, editor), Thieme, Third Edition, pp. 337-353, 2009
Gillman G. S., Gallo J. F.: Cosmetic Uses of Botox and Injectable Fillers, Chapter 185 in Head & Neck Surgery-Otolaryngology, 4th Edition, (Bailey, editor), Lippincott Williams & Wilkins, pp. 2761-2769, 2006
247) A Open the surgical wound
Rankin B. S., Arden R. L., Crumley R. L.: Lower Eyelid Blepharoplasty, Chapter 18, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp. 204-206, 2002.
Crumley R. L., Torkian B. A., Karam A. M.: Lower Eyelid Blepharoplasty, Chapter 23, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third Edition (Ira Papel, editor) pp. 271-285, 2009http://emedicine.medscape.com/article/838696-treatment
248) E Gillies approach
Pasha R, Doerr T. D., Mathog R.H..: Head and Neck Trauma, Chapter 8 in Otolaryngology-Head and Neck Surgery, Clinical Reference Guide, (Pasha R., Editor), Singular Thomson Learning, 2001, p. 460
249) B Advanced photoaging with wrinkles present at rest
http://emedicine.medscape.com/article/842840-overview
250) D Camouflage cosmetics
Brody R. M., Mangat D. S.: Combining Resurfacing Modalities, Rejuvenation of the Lower Face and Neck, Facial Plastic Surgery Clinics of North America, Saunders, Volume 8, Number 2, p. 141, 2000
http://emedicine.medscape.com/article/842768-overview
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Updated: May 1, 2017
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