521-530
521) With reference to the drawing below the width of the base of the bony sidewall of the nose is approximately what percent of the width of the alar base?
A. 40 %B. 50 %
C. 60 %
D. 75%
E. 90 %
522) Which of the following statements is FALSE about the medical treatment of male pattern baldness with finasteride?
A. Systemic therapy can cause reduced libido and sexual potency.
B. Finasteride has no affinity for androgen receptors.
C. Finasteride works by blocking the peripheral conversion of testosterone to dihydrotestosternone (DHT).
D. The recommended oral dose of finasteride is 5 mg/day.
E. Finasteride is a competitive and specific inhibitor of type II 5-α-reductase.
523) Execution of the JURI Flap is accomplished in HOW MANY STAGES?
A. 1
B. 2
C. 3
D. 4
E. 5
524) Which of the following facial areas is MORE PRONE to delayed healing and scarring after the use of Laser Resurfacing or Chemical Peeling Techniques?
A. Forehead
B. Temple
C. Cheek
D. Nasal
E. Neck
525) Which of the following ARE characteristics of unilateral cleft lip and nose?
A. The nasal tip deflects toward the cleft side.
B. The columella deviates to the cleft side.
C. The cleft side alar base is positioned posteriorly, laterally and inferiorly.
D. The caudal septum deflects toward the cleft side.
E. The nasal floor and sill are absent on the noncleft side.
526) Which of the following is INCORRECT about a Rhinoplasty done for correction of a unilateral cleft lip nasal deformity?
A. Open approach is advisable.
B. Modified columellar incision using bilateral forked flaps is advisable.
C. Septoplasty by removing a strip of cartilage inferiorly to allow the “swing” over the nasal spine is advisable.
D. Cartilaginous columellar strut graft to enhance projection is advisable.
E. Lower lateral cartilages are divided lateral to the dome, reconstructed and sutured to the columellar strut.
527) Which of the following facial plating systems is CORRECTLY RELATED to the indication?
A. Miniplates - Le Fort fractures.
B. Microplates - Zygomatic buttress fractures.
C. Dynamic Compression Plates - highly comminuted mandibular fractures.
D. Eccentric Dynamic Compression Plates - glabellar region fractures.
E. Tension Band - inferior border of the mandible.
528) Which of the following indications is INCORRECT for Three-Dimensional Plating?
A. Comminuted calvarial fractures
B. Orbital defects
C. Blow-out factures
D. Midface fractures
E. Angle of the mandible fractures
529) A patient has been diagnosed with PANFACIAL FRACTURES. Which of the following fractures will be repaired LAST?
A. Mandibular fractures
B. Maxillary fractures
C. Malar bones fractures
D. Naso-orbitoehtmoid fractures
E. Frontal Bones fractures
530) Which of the following statements regarding the surgical repair of bilateral cleft lip is FALSE?
A. Single-stage repair is recommended in symmetrical bilateral cleft lips with moderate protruding prolabium and premaxilla.
B. Single-stage repair maximizes symmetry of the lip compared to the two-stage procedure.
C. The orbicularis oris muscle from each lateral lip segment is advanced supero-medially and sutured to the nasal sills.
D. The mid-prolabial flap will form the philtrum.
E. The two lateral prolabial flaps will be sutured to form the nasal sill and the nasal floor on each side of the nose.
ANSWERS & REFERENCES
521) D 75%
Orten S. S., Hilger P. A: Facial Analysis of the Rhinoplasty Patient, Chapter 31, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) p. 363, 2002
Boahene K. D., Orten S. S., Hilger P. A: Facial Analysis of the Rhinoplasty Patient, Chapter 38 in Facial Plastic and Reconstructive Surgery (Papel, I. editor), Thieme, Third Edition, 2009, pp. 477-487
Konior R. J., Kridel R. W. H.: Management of Alopecia, Chapter 188 in Head and Neck Surgery-Otolaryngology (Bailey), Third Edition, Lippincott Williams & Wilkins, p. 2452, 2001
Bassichis B. A., Konior R. J.: Management of Alopecia, Chapter 184 in Head and Neck Surgery-Otolaryngology (Bailey), 4th Edition, Lippincott Williams & Wilkins, 2006, pp. 2749-2759
Rousso D. E., Sule S., Stough D., Whitworth J. M.: Hair Replacement Techniques, Chapter 33 in Facial Plastic and Reconstructive Surgery (Papel, I. editor), Thieme, Third Edition, 2009, pp. 409-420
Bassichis B. A., Konior R. J.: Management of Alopecia, Chapter 184 in Head and Neck Surgery-Otolaryngology (Bailey), 4th Edition, Lippincott Williams & Wilkins, 2006, pp. 2749-2759
Hecht D. A. , Toriumi D. M.: Laser Skin Resurfacing, Chapter 189 in Head and Neck Surgery-Otolaryngology (Bailey), Third Edition, Lippincott Williams & Wilkins, 2001, p. 2465
Carniol P. J.: Laser Skin Resurfacing, Chapter 182B in Head and Neck Surgery-Otolaryngology (Bailey), Third Edition, Lippincott Williams & Wilkins,2009, pp. 2725-2729
525) C The cleft side alar base is positioned posteriorly, laterally and inferiorly.
Coleman Jr. J. R., Sykes J. M.: Cleft Lip Rhinoplasty, Chapter 66, in Head and Neck Surgery-Otolaryngology (Bailey), Third Edition, Lippincott Williams & Wilkins, p. 831, 2001
Coleman Jr. J. R., Sykes J. M.: Cleft Lip Rhinoplasty, Chapter 77 in Facial Plastic and Reconstructive Surgery (Papel, I. editor), Thieme, Third Edition, 2009, pp. 1079-1093
526) B Modified columellar incision using bilateral forked flaps is advisable.
Coleman Jr. J. R., Sykes J. M.: Cleft Lip Rhinoplasty, Chapter 66 Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp. 837-839, 2002
Coleman Jr. J. R., Sykes J. M.: Cleft Lip Rhinoplasty, Chapter 77 in Facial Plastic and Reconstructive Surgery (Papel, I. editor), Thieme, Third Edition, 2009, pp. 1079-1093
527) A Miniplates - Le Fort fractures.
Costantino P. D., Wolpoe M.: Facial Plating Systems, Chapter 56, in Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp. 707-715, 2002
Costantino P. D., Tadros M., Wolpoe M.: Principles of Facial Plating System, Chapter 67 in Facial Plastic and Reconstructive Surgery (Papel, I. editor), Thieme, Third Edition, 2009, pp. 929-944
Costantino P. D., Tadros M., Wolpoe M.: Principles of Facial Plating System, Chapter 67 in Facial Plastic and Reconstructive Surgery (Papel, I. editor), Thieme, Third Edition, 2009, pp. 929-944
529) D Naso-orbitoehtmoid fractures
Strong E. B., Sykes J. M.: Frontal Sinus and Nasoorbitaoehtmoid Complex Fractures, Chapter 59, in Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor), 2002, p.756
Strong E. B.: Frontal Sinus and Naso-orbital-oehtmoid Complex Fractures, Chapter 70, in Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor), 2009, pp. 977-990
530) C The orbicularis oris muscle from each lateral lip segment is advanced supero-medially and sutured to the nasal sills.
Dyleski R. A., Crockett D. M., Seibert R. W.: Cleft Lip and Palate: Evaluation and Treatment of the Primary Deformity, Chapter 80 Head and Neck Surgery – Otolaryngology, (Bailey), Volume I, Lippincott Williams & Wilkins, Third Edition, pp. 969-970, 2001
Capone R. B., Sykes J. M.: Evaluation and Management of Cleft Lip and Palate Disorders, Chapter 76 in Facial Plastic and Reconstructive Surgery (Papel, I. editor), Thieme, Third Edition, 2009, pp. 1059-1078
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Updated: June 1, 2017
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