Monday, April 12, 2010

421-430 MCQ in Facial Plastic and Reconstructive Surgery

421-430

421) The area indicated by the arrows in this unilateral cleft lip deformity is:
Click the picture to enlarge image.

A. The C-flap
B. The M-flap
C. The midpoint of Cupid’s bow on the cleft side
D. Simonart’s band
E. The white roll

422) Which of the following is TRUE regarding the phases and order of wound healing?

A. Inflammation, Proliferation and Diferentiation
B. Inflammation, Proliferation and Maturation
C. Proliferation, Remodeling and Diferentiation
D. Proliferation, Remodeling and Contraction
E. Inflammation, Proliferation and Contraction

423) At the end of the remodeling phase of wound healing the scar HAS approximately:

A. 10 % of the tensile strength of non-wounded normal skin
B. 20% of the tensile strength of non- wounded normal skin
C. 40% of the tensile strength of non-wounded normal skin
D. 60% of the tensile strength of non-wounded normal skin
E. 80% of the tensile strength of non-wounded normal skin

424) Which of the following is the CORRECT TIMING for the appearance of the fibroblasts in the process of wound healing?

A. 24 hours
B. 3 days
C. 7 days
D. 10 days
E. 12 days

425) In the wound healing process granulation tissue forms at which of the following points?

A. 24 hours
B. 48 hours
C. 4 days
D. 7 days
E. 10 days

426) HOW LONG does the tensile strength CHROMIC GUT last?

A. 1 week
B. 2 weeks
C. 4 weeks
D. 5 weeks
E. 6 weeks

427) The MAJORITY of hematomas after rhytidectomy presents WITHIN:

A. The first 2 hours
B. The first 4 hours
C. The first 6 hours
D. The first 12 hours
E. The first 24 hours

428) When is the PROPER TIME to perform Lip Adhesion surgery with reference to cleft lip repair?

A. 3 days after birth
B. 3 weeks after birth
C. 2 months after birth
D. 3 months after birth
E. 4 months after birth

429) From which of the following foods is GLYCOLIC ACID extracted?

A. Sugar cane
B. Sour milk
C. Grapes
D. Lemons
E. Apples

430) What is the appropriate plane of dissection in the CORONAL FOREHEAD LIFT?

A. Subcutaneous
B. Subgaleal
C. Subperiosteal
D. Above the frontalis muscle
E. Posteriorly above the frontalis muscle, anteriorly subperiostealy


ANSWERS & REFERENCES



421) D     Simonart’s band

Bardach J., Salyer K. E.: Unilateral Cleft Lip Repair, Chapter 1 in Surgical Techniques in Cleft Lip and Palate, (Bardach & Salyer,editors), Mosby, Second Edition, 1991, pp.3-4

422) B     Inflammation, Proliferation and Maturation

Fisher E., Frodel Jr. J. L.: Wound Healing, Chapter 2, in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Second Edition, pp.15-16, 2002

Fisher E., Frodel Jr. J. L.: Wound Healing, Chapter 2 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Third Edition, pp. 15-25, 2009

423) E     80% of the tensile strength of non-wounded normal skin

Fisher E., Frodel Jr. J. L.: Wound Healing, Chapter 2, in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Second Edition, pp.15-19, 2002

Fisher E., Frodel Jr. J. L.: Wound Healing, Chapter 2 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Third Edition, pp. 15-25, 2009

424) B     3 days

Fisher E., Frodel Jr. J. L.: Wound Healing, Chapter 2, in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Second Edition, pp.15-20, 2002

Fisher E., Frodel Jr. J. L.: Wound Healing, Chapter 2 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Third Edition, pp. 15-25, 2009

425) C     4 days

Fisher E., Frodel Jr. J. L.: Wound Healing, Chapter 2, in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Second Edition, pp.15-20, 2002

Fisher E., Frodel Jr. J. L.: Wound Healing, Chapter 2 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Third Edition, pp. 15-25, 2009

426) B     2 weeks


http://emedicine.medscape.com/article/884838-overview

427) D     The first 12 hours

Perkins S., Dayan S. : Rhytidectomy, Chapter 15 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Second Edition, pp. 167-170, 2002

Perkins S. W., Naderi S.: Rhytidectomy, Chapter 19 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Third Edition, pp. 207-225, 2009

428) B     3 weeks after birth

Bumsted R. M.: Management of Unilateral Cleft Lip, Chapter 10 in Pediatric Facial Plastic and Reconstructive Surgery (Smith & Bumsted), Raven Press, 1993, pp. 133-136

Dyleski R. A., Crockett D. M.: Cleft Lip and Palate: Evaluation and Treatment of the Primary Deformity, Chapter 95, Head and Neck Surgery-Otolaryngology, 4th Edition, (Bailey, editor), Lippincott Williams & Wilkins, 2006, pp. 1317-1335

429) A     Sugar cane

Mandy S. H., Monheit G.D.: Dermabrasion and Chemical Peels, Chapter 20 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Second Edition, pp. 230-231, 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

430) B     Subgaleal

Adamson P. A., Brunner E., Pearson D.C.: The Aging Forehead, Chapter 182, Head and Neck Surgery-Otolaryngology, Third Edition, (Bailey, editor), Lippincott Williams & Wilkins, 2001, pp.2360-2361

Adamson P. A., Dahiya R.: The Aging Forehead, Chapter 179, Head and Neck Surgery-Otolaryngology, 4th Edition, (Bailey, editor), Lippincott Williams & Wilkins, 2006, pp. 2663-2683

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Updated: June 1, 2017

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