441-450
441) The CREASE noted in the drawing below is PRODUCED by:
A. Contraction of the frontalis muscleB. Contraction of the procerus muscle
C. Contraction of the corrugator muscle
D. Contraction of the orbicularis muscle
E. Laxity and gravity of the glabellar and root of the nose skin
442) Phenol Peeling is NOT RECOMMENDED in which of the following areas?
A. Forehead
B. Perioral
C. Cheeks
D. Nose
E. Neck
443) Which of the following is the “OPTIMUM STANDARD” bone graft donor site for repair of an alveolar cleft?
A. Iliac crest bone (autogenous)
B. Cranial bone (autogenous)
C. Mandibular bone/symphyseal area (autogenous)
D. Rib (autogenous)
E. Allogenic (bone) cadaveric
444) Which of the following facial basal cell carcinomas will require “ MOHS” MICROGRAPHIC EXCISION versus standard excision?
A. Tumor under 2.0 cm.
B. Tumor with well-defined margins
C. Tumor in the postauricular sulcus
D. Tumor in the midforehead area
E. Tumors untreated by other modalities
445) Which of the following soft tissue instruments is NOT ADEQUATE for handling soft tissue trauma?
A. Bishop-Harman tissue forceps
B. Brown-Adson tissue forceps
C. Single and double skin hooks
D. No. 15 knife blades
E. Dry sponges
446) Which of the following substances is USED in conjunction with 2% lidocaine and 1: 100.000 epinephrine in order to decrease pain of local injection?
A. 0.9 saline solution
B. 0.45 saline solution
C. Ringer lactate
D. Sodium bicarbonate
E. 5 mEq of KCl
447) Which of the following statements is TRUE regarding cleft lip repair?
A. Millard’s technique will not narrow the nostril.
B. Millard’s technique will recreate the philtrum.
C. Triangular flap technique will narrow the nostril.
D. Triangular flap technique will allow modification during repair.
E. Both the Millard and the triangular flap technique are adequate in wide-clefts.
448) Which of the following is FALSE about the Lip Adhesion?
A. Is performed at 1 month
B. Allows the lip to act as an orthodontic appliance
C. Improves the alignment of the maxillary arches
D. Decreases the tissue to be excised in the definitive lip repair
E. Assists with feeding
449) When is the REMODELING PHASE in wound healing COMPLETE?
A. 1 month
B. 3 months
C. 6 months
D. 10 months
E. 12 months
450) At the end of the inflammatory phase of wound healing (one week after closure) the wound HAS WHAT percentage of its final tensile strength?
A. 10%
B. 30%
C. 50%
D. 70%
E. 80%
ANSWERS & REFERENCES
441) B Contraction of the procerus muscle
Koch R. J., Hanasono M. M.: Aesthetic Facial Analysis, Chapter 13 in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Second Edition, pp.139-140, 2002
Koch R. J., Hanasono M. M.: Aesthetic Facial Analysis, Chapter 16 in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Third Edition, pp.177-187, 2009
442) E Neck
Mendelsohn J. E.: Update on Chemical Peels, Office-Based Procedures in Facial Plastic Surgery, Otolaryngologic Clinics of North America, Vol. 35, No. 1, 2002, pp. 69-72
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
443) A Iliac crest bone (autogenous)
444) C Tumor in the postauricular sulcus
Hendrix Jr. J. D., Slingluff C L.: Cutaneous Malignancies: Diagnosis and Treatment, Chapter 42 in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Second Edition, pp.491-493, 2002
Hendrix Jr. J. D., Slingluff C L.: Diagnosis and Treatment of Cutaneous Malignancies, Chapter 52 in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Third Edition, pp. 675-702, 2009
Stucker F. J., Nathan C.O., Lian T.S.: Cutaneous Malignancy, Chapter 105, Head and Neck Surgery-Otolaryngology, (Bailey, editor), 4th Edition, Lippincott Williams & Wilkins, pp. 1455-1468, 2006
445) E Dry sponges
Cook T. A., Guida R. A., Burke A.J.C.: Soft Tissue Techniques, Chapter 3 in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Second Edition, pp. 26-27, 2002
Cook T. A., Guida R. A., Burke A.J.C.: Soft Tissue Techniques, Chapter 3 in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Third Edition, pp. 27-39, 2009
Cook T. A., Guida R. A., Burke A.J.C.: Soft Tissue Techniques, Chapter 3 in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Second Edition, pp. 26-27, 2002
447) B Millard’s technique will recreate the philtrum.
Seibert R. W. , Bumsted R. M.: Cleft Lip and Palate, Chapter 66 in Otolaryngology-Head and Neck Surgery, ( Cummings, Fredrickson, Harker, Krause, Schuller, editors) , Mosby, Second Edition, 1993, pp. 1137-1143
Capone R. B., Sykes J. M.:Evaluation and Management of Cleft Lip and Palate Disorders, Chapter 76 in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Third Edition, pp. 1059-1078, 2009
448) D Decreases the tissue to be excised in the definitive lip repair
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, (Bailey, editor), 4th Edition, Lippincott Williams & Wilkins, pp.1317-1335 , 2009
449) E 12 months
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
450) A 10%
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
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Updated: June 1, 2017
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