411-420
411) What is the total dose of botulinum Exotoxin A (Botox) USUALLY injected to the area indicated by the drawing?
A. 5B. 30
C. 40
D. 50
E. 60
412) What is the LEAST wait time required prior to reinjection with Botox for persistent hyperfunctional lines?
A. 4 days
B. 7 days
C. 14 days
D. 21 days
E. 1 month
413) Which of the following is FALSE regarding Botox injections?
A. No injection should be performed within 1 cm of the lateral orbital rim.
B. No injection should be performed within 1 cm of the superior border of the eyebrow.
C. Starting dose for frontalis rhytids and crow’s feet is 2.5 units per 0.1 cm3.
D. Electromyography localization is required in all patients.
E. Most patients will maintain their improvement for 4 months.
414) Which of the following statements regarding the effects of chemical peeling is FALSE?
A. Milia will often resolve with normal cleansing of the face.
B. Erythema is not a complication but an expected result lasting for approximately 15 days.
C. Prolonged erythema may be treated with topical steroids.
D. The areas with a lesser tendency for scarring are the zygomatic arch, the jawline and the chin.
E. Hyperpigmentation can be treated with hydroquinone.
415) Mineral oil is BEST used to neutralize chemical peeling with:
A. Trichloroacetic Acid (TCA)
B. Glycolic acid
C. Baker-Gordon phenol
D. Salicylic acid
E. Jessner’s solution
416) In which layer of the skin are the “melanocytes” found?
A. The basal cell layer
B. The prickle cell layer
C. The granular cell layer
D. The stratum lucidum layer
E. The stratum corneum layer
417) Which of the following is TRUE regarding the effects of aging?
A. The epidermis appears thicker.
B. Epidermal replacement is increased .
C. Collagen synthesis and collagen skin content increase.
D. Fibrocytes decrease.
E. Elastic fibers in the reticular dermis decrease and in the papillary dermis increase.
418) The corpuscles of “Vater-Pacini” mediate the sensation of :
A. Pain
B. Itching
C. Temperature
D. Touch
E. Pressure
419) Transient lid ptosis can be treated by eye drops causing CONTRACTION of the:
A. Orbicularis oculi muscle
B. Septum
C. Müller muscle
D. Levator palpebrae superioris
E. Levator aponeurosis
420) Which of the following is the BEST treatment for the correction of dynamic brow asymmetry in a young lady of 40 years with normal position of the frontal hairline and no visible horizontal creases in the forehead?
A. Coronal Forehead Lift
B. Pretrichial Lift
C. Direct brow Lift
D. Endoscopic brow lift
E. No surgical management
ANSWERS & REFERENCES
411) B 30
Blitzer A., Binder W. J., Brin M.F.: Botulinum Exotoxin A (Botox) for Facial Wrinkles, Chapter 23 in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Second Edition, p. 265, 2002
Meyer T. K., Blitzer A.: Botulinum Toxin for Facial Wrinkles, Chapter 30 in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Third Edition, p. 372, 2009
Carruthers J., Fagien S., Matarasso S.L., and the Botox Consensus Group, Consensus Recommendations on the Use of Botulinum Toxin Type A in Facial Aesthethics, Plastic Reconstruction Surgery, 114 (6), 2004, 1S-22S
Meyer T. K., Blitzer A.: Botulinum Toxin for Facial Wrinkles, Chapter 30 in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Third Edition, p. 376, 2009
413) D Electromyography localization is required in all patients.
Meyer T. K., Blitzer A.: Botulinum Toxin for Facial Wrinkles, Chapter 30 in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Third Edition, pp. 369-377, 2009
414) D The areas with a lesser tendency for scarring are the zygomatic arch, the jawline and the chin.
Mendelsohn J. E..: Update on Chemical Peeling, Office-Based procedures in Facial Plastic Surgery, Otolaryngologic Clinics of North America, Vol. 35, No. 1, 2002, pp. 69-71
415) C Baker-Gordon phenol
Mandy S. H., Monheit G.D.: Dermabrasion and Chemical Peels, Chapter 20, in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Second Edition, pp. 238-239, 2002
Mandy S. H., Monheit G.D.: Dermabrasion and Chemical Peels, Chapter 25 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Third Edition, pp. 301-320, 2009
Bennett R. G.: Anatomy and Physiology of the Skin, Chapter 1, in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Second Edition, pp. 5-7, 2002
417) D Fibrocytes decrease
Bennett R. G.: Anatomy and Physiology of the Skin, Chapter 1, in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Second Edition, pp. 7-9, 2002
418) E Pressure
Bennett R. G.: Anatomy and Physiology of the Skin, Chapter 1, in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Second Edition, pp. 5-7, 2002
419) C Müller muscle
Blitzer A., Binder W. J., Brin M.F.: Botulinum Exotoxin A (Botox) for Facial Wrinkles, Chapter 23 in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Second Edition, pp. 264-265, 2002
Meyer T. K., Blitzer A.: Botulinum Toxin for Facial Wrinkles, Chapter 30 in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Third Edition, pp. 369-377, 2009
420) E No surgical management
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Updated: June 1, 2017
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