Wednesday, April 14, 2010

401-410 MCQ in Facial Plastic and Reconstructive Surgery

401-410

401) Which of the following distances is the ONE represented in the drawing of the orbital area in a male person? Click the picture to enlarge image.



A. 1.5 cm
B. 2.5 cm
C. 3 cm
D. Twice the distance between the palpebral aperture
E. Two and a half the distance between the palpebral aperture

402) Which of the following will confirm the diagnosis of fat pseudo-herniation?

A. Snap test
B. Traction test
C. Squint test
D. Pinch test
E. Distraction test

403) Which of the following statements regarding Blepharoplasty is TRUE?

A. In men the lateral extent of the incision in Upper Blepharoplasty should terminate 1 cm over the lateral orbital rim.
B. In the transconjuntival preseptal approach an incision is made 5 mm below the inferior border of the inferior tarsal plate.
C. The medial and central fat compartments of the lower eyelid are separated by the inferior rectus muscle.
D. Direct access to the fat pads is achieved by the transconjuntival postseptal approach.
E. The lateral fat pad is whiter than the medial fat pad.

404) Which of the following nasal aesthetic is NOT characteristic of a man?

A. Strong nasal dorsum with no supratip break
B. Strong nasal dorsum and a clearly defined supratip break
C. Nasolabial angle of 90 degrees
D. Dorsal line either straight or with a small bony hump
E. Broad tip but not boxy

405) Which of the following statements about complications after face lift is FALSE?

A. Male patients have a higher incidence of hematoma formation.
B. Deep plane face lift has a higher incidence of hematoma formation.
C. Infection is most commonly associated with hematoma.
D. Infection is most commonly related to Staphylococus aureus.
E. There is a higher incidence of hematoma formation than infection.

406) Which of the following zones of the midface is the one defined by the NASOJUGAL AREA which lies between the infraorbital foramen and the pyriform aperture of the nose?

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

407) The incidence of infection using alloplastic implants can be REDUCED by soaking the implant with:

A. Gentamicin
B. Erythromycin
C. Methicillin
D. Cefuroxime
E. Penicillin G

408) Which of the following statements regarding injectable bovine collagen is TRUE?

A. Zyderm I contains 6.5% concentration of collagen.
B. Zyderm II contains 3.5% concentration of collagen.
C. Zyplast contains collagen cross-linked with butylaldehyde.
D. Zyderm I will require overcorrection of 60 %.
E. Zyplast will not require overcorrection.

409) Botox is NOT contraindicated in which of the following groups?

A. Lactating mothers
B. Eaton-Lambert syndrome
C. Myastenia gravis
D. Patients taking aminoglycosides
E. Women taken estrogen and/or progesterone hormonal replacement

410) Which of the following statements regarding frontal hairline design is FALSE?

A. The midpoint of the frontal hairline should be 9 cm from a horizontal line that crosses the patient’s eyebrows.
B. The hairline gently curves laterally toward the temporal fringe in a convex pattern.
C. If the temporal fringe is very low, an isolated frontal forelock is created.
D. In younger patients it is best to create the hairline to be to lower and wider.
E. The frontal hairline should be created using micrografts.


ANSWERS & REFERENCES



401) B     2.5 cm

Sullivan M. J.: Male Brow Surgery, Male Aesthetic Surgery, Facial Plastic Surgery Clinics of North America, Vol. 7 No. 4, November 1999, p. 422

402) C     Squint test

Fedok F. G.: Blepharoplasty in the Male Patient, Male Aesthetic Surgery, Facial Plastic Surgery Clinics of North America, Vol. 7 No. 4, November 1999, pp. 437-443

403) D     Direct access to the fat pads is achieved by the transconjuntival postseptal approach.

Fedok F. G.: Blepharoplasty in the Male Patient, Male Aesthetic Surgery, Facial Plastic Surgery Clinics of North America, Vol. 7 No. 4, November 1999, pp. 442-446

Crumley R. L., Torkian B. A., Karam A. M.: Lower Eyelid Blepharoplasty, Chapter 23 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Third Edition, pp. 271-285, 2009

404) B     Strong nasal dorsum and a clearly defined supratip break

Kridel R. W. H., Rezaee A.: Male Rhinoplasty, Male Aesthetic Surgery, Facial Plastic Surgery Clinics of North America, Vol. 7 No. 4, November 1999, pp. 457-461

405) B     Deep plane face lift has a higher incidence of hematoma formation.

Quatela V. C., Villano M. E.: Male Rhytidectomy, Male Aesthetic Surgery, Facial Plastic Surgery Clinics of North America, Vol. 7 No. 4, November 1999, pp. 491-493

406) C     Zone III

Mittelman H., Newman J: Facial Augmentation, Male Aesthetic Surgery, Facial Plastic Surgery Clinics of North America, Vol. 7 No. 4, November 1999, pp. 496-497

407) A     Gentamicin

Mittelman H., Newman J.: Aesthetic Mandibular Implants, Chapter 24, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp. 273-275, 2002

Mittelman H., Newman J.: Aesthetic Mandibular Implants, Chapter 31, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) pp. 379-387, 2009

408) E     Zyplast will not require overcorrection.

Lattyak B. V., Catten M., Maas C. S.: Minimally Invasive Techniques for Rejuvenation of the Male Face, Male Aesthetic Surgery, Facial Plastic Surgery Clinics of North America, Vol. 7 No. 4, November 1999, p. 512

Maas C. S., Yu K. C. Y., Egan K. K.: Neuromodulators and Injectable Soft Tissue Substitutes, Chapter 31, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) pp. 337-353, 2009

409) E     Women taken estrogen and/or progesterone hormonal replacement.

Blitzer A., Binder W. J., Brin M. F.: Botulinum Exotoxin A (Botox) for Facial Wrinkles, Chapter 23, , Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp. 262-263, 2002

Meyer T. K., Blitzer A.: Botulinum Toxin for Facial Wrinkles, Chapter 30, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) pp. 369-377, 2009

410) D     In younger patients it is best to create the hairline to be to lower and wider.

Limmer B. L., Buchwach K. A.: Hair Transplantation Using Follicular Unit Micrografting, Male Aesthetic Surgery, Facial Plastic Surgery Clinics of North America, Vol. 7 No. 4, November 1999, pp.525-529

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Updated: June 1, 2017

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