431-440 MCQ in Facial Plastic and Reconstructive Surgery

431-440

431) Area A in the drawing below represents the resected area of the cephalic margin of the lower lateral cartilage (LLC) and area B represents the residual lower lateral cartilage (LCC). Which of the following statements is TRUE? Click the picture to enlarge image.



A. The area of cephalic resection of the LLC (A) should not be more than 2 mm
B. The area of cephalic resection of the LLC (A) should not be more than 4 mm
C. The residual LLC (B) should not be more than 2 mm
D. The residual LLC (B) should not be more than 4 mm
E. The residual LLC (B) should be at least 6 mm

432) BROWN SKIN that RARELY BURNS AND TANS MORE THAN AVERAGE is classified as:

A. Fitzpatrick’s type I
B. Fitzpatrick’s type II
C. Fitzpatrick’s type III
D. Fitzpatrick’s type IV
E. Fitzpatrick’s type V

433) GLYCOLIC ACID in concentrations of 70% can penetrate to a depth SIMILAR to:

A. Trichloroacetic acid (TCA) 10%
B. Trichloroacetic acid (TCA) 35%
C. Baker’s formula peel
D. Microdermabrasion with aluminum oxide
E. Jessner’s solution

434) The glycolic acid peel is BEST neutralized with:

A. Mineral oil
B. Normal saline
C. Ringer's lactate
D. Diluted sodium bicarbonate
E. Diluted acetic acid

435) To which of the following facial subunits is the Baker-Gordon solution is applied FIRST?

A. Forehead
B. Perioral
C. Cheeks
D. Nose
E. Periorbital

436) After Phenol Chemical Face Peeling, re-epithelization USUALLY takes:

A. 3 days
B. 5 days
C. 10 days
D. 21 days
E. 30 days

437) Which of the following local anesthetic agents is MOST likely to be associated with an allergic reaction?

A. Lidocaine
B. Bupivacaine
C. Mepivacaine
D. Ropivacaine
E. Tretracaine

438) The MAXIMUM total dose of lidocaine with epinephrine for a 70-kg adult man is approximately:

A. 200 mg
B. 300 mg
C. 400 mg
D. 500 mg
E. 600 mg

439) Which of the following local anesthetic agents has the LONGEST duration of action?

A. Procaine
B. Chloroprocaine
C. Lidocaine
D. Ropivacaine
E. Mepivacaine

440) What is the appropriate plane of dissection in the ENDOSCOPIC FOREHEAD LIFT?

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



ANSWERS & REFERENCES



431) E     The residual LLC (B) should be at least 6 mm

Tardy M.E., Toriumi D. M., Hecht D. A.: Philosophy and Principles of Rhinoplasty, Chapter 32 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Second Edition, pp. 377-378, 2002

Tardy M.E., Toriumi D. M., Hecht D. A.: Philosophy and Principles of Rhinoplasty, Chapter 40 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Third Edition, pp. 507-528, 2009

432) D     Fitzpatrick’s type IV

Mandy S. H., Monheit G.D.: Dermabrasion and Chemical Peels, Chapter 20 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Second Edition, pp. 227-228, 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

433) B     Trichloroacetic acid (TCA) 35%

Elllis D.A.F., Trimas S.J., Ellis C.S.: The use of Glycolic Acid as a Micro-Peel, Chemical Peels and Dermabrasion, Facial Plastic Surgery Clinics of North America, Vol. 2, No. 1, 1994, pp. 15-20

434) D     Diluted sodium bicarbonate

Elllis D.A.F., Trimas S.J., Ellis C.S.: The use of Glycolic Acid as a Micro-Peel, Chemical Peels and Dermabrasion, Facial Plastic Surgery Clinics of North America, Vol. 2, No. 1, 1994, pp. 15-20

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

435) A     Forehead

Cortez E.A.: Phenol Chemical Face Peeling, Chemical Peels and Dermabrasion, Facial Plastic Surgery Clinics of North America, Vol. 2, No. 1, 1994, pp. 29-41

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

436) C     10 days

Cortez E.A.: Phenol Chemical Face Peeling, Chemical Peels and Dermabrasion, Facial Plastic Surgery Clinics of North America, Vol. 2, No. 1, 1994, pp. 29-41

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

437) E     Tretracaine

Ahlstrom K.k., Frodel J. L.: Local Anesthetics for Facial Plastic Procedures, Office-Based Procedures in Facial Plastic Surgery, Vol. 35, No. 1, 2002, pp. 34-35

Fletcher M. V.:Anesthesia in Facial Plastic Surgery, Chapter 17 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Third Edition, pp. 189-197, 2009

438) D     500 mg

Ahlstrom K.k., Frodel J. L.: Local Anesthetics for Facial Plastic Procedures, Office-Based Procedures in Facial Plastic Surgery, Vol. 35, No. 1, 2002, pp. 29-53

Fletcher M. V.:Anesthesia in Facial Plastic Surgery, Chapter 17 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Third Edition, pp. 189-197, 2009

439) D     Ropivacaine

Hailstorm K., Forded J. L.: Local Anesthetics for Facial Plastic Procedures, Office-Based Procedures in Facial Plastic Surgery, Vol. 35, No. 1, 2002, pp. 34-36

440) C     Subperiosteal

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.2367-2371

Graham III H. D., Quatela V. C., Sabini P.: Endoscopic Approach to the Brow and Midface, Chapter 20 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Third Edition, pp. 227-241, 2009

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Updated: June 1, 2017