101-110 MCQ in Facial Plastic and Reconstructive Surgery

101-110

101) The use of W-plasty scar revision is CONTRAINDICATED in which of the following facial areas? Click the picture to enlarge image.

A. A
B. B
C. C
D. D
E. E

102) Which of the following antibiotics is CONTRAINDICATED with the use of Botox?

A. Penicillin
B. Cephalosporin
C. Tetracycline
D. Aminoglycoside
E. Clindamycin

103) Which of the following anatomic sites will heal by Second-Intention with the BEST cosmetic result?

A. Temple
B. Forehead
C. Cheek
D. Chin
E. Helix

104) Which of the following statements is FALSE regarding the “O-T” Flap?

A. The flap converts a circular defect to a T-shaped scar.
B. It is useful in the temple area close to the hairline.
C. The disadvantage is that it leaves an unfavorable scar with two perpendicular limbs.
D. The advantage is that there is no need for excision of normal tissue.
E. The flap has advancement and rotational components.

105) Which of the following is the “PRIMARY CHROMOPHORE” for resurfacing lasers (CO2 & Er:YAG lasers)?

A. Oxyhemoglobin
B. Carboxyhemoglobin
C. Melanin
D. Hemoglobin
E. Water

106) Which of the following would benefit the LEAST by using Botulinum Exotoxin A (Botox) injections?

A. Glabellar lines
B. Horizontal forehead lines
C. Lateral orbital lines “crow’s feet”
D. Nasal flare
E. Nasolabial folds

107) In which layer of the epidermis are the LANGERHANS’ CELLS, for the most part, located?

A. The basal cell layer
B. The stratum spinosum
C. The stratum granulosum
D. The stratum lucidum
E. The stratum corneum

108) Which of the following statements defines the POGONION?

A. Anterior hairline at the midline
B. Lowest contour point of the chin
C. Anterior most point of the chin
D. Most inferior, posterior, and lateral point on the external angle of the mandible
E. Point of deepest depression at the root of the nose

109) Which of the following statements is FALSE regarding Z-Plasty?

A. No angles are greater than 90 degrees.
B. No angles are less than 30 degrees.
C. Arms are no greater than 1 cm on the face.
D. Arms have a 2 cm length on the neck.
E. An angle of 60 degrees is the most versatile.

110) Which of the following is THE MOST common complication of tissue expanders?

A. Early infection
B. Late infection
C. Early exposure
D. Late exposure
E. Necrosis of the flaps


ANSWERS & REFERENCES



101) E     E


Borges A. F.: W-Plasty, Chapter 14, Facial Scars, Incision, Revision and Camouflage (Thomas and Holt, editors), 1989, pp. 152-153

102) D     Aminoglycoside

Blitzer A., Binder W.J. Brin M.F.: Botulinum Exotoxin A (Botox) for Facial Wrinkles, Chapter 23 in Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp. 262-263, 2002

Meyer T. K., Blitzer A.: Botulinum Toxin for Facial Wrinkles, Chapter 30 in Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third Edition, (Ira Papel, editor) pp. 369-377, 2009

 http://emedicine.medscape.com/article/1271380-overview#aw2aab6b6

103) A     Temple

Hom D. B., Tope W. D.: Minimally Invasive Options and Skin Grafts for Cutaneous Reconstruction, Chapter 43 in Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp. 513-522, 2002

Hom D. B., Tope W. D.: Minimally Invasive Options and Skin Grafts for Cutaneous Reconstruction, Chapter 53 in Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) pp. 513-522, 2009

104) D     The advantage is that there is no need for excision of normal tissue.

Park S.S., Local and Regional Cutaneous Flaps, Chapter 44 in Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp. 535-536, 2002

Park S.S., Local and Regional Cutaneous Flaps, Chapter 54 in Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) pp. 721-743, 2009

105) E     Water

Carniol P.J., Harmon C.B.: Laser Facial Resurfacing, Chapter 21 in Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) p. 242, 2002

Carniol P.J., Harmon C.B., Hamilton M.M.: Ablative Laser Facial Resurfacing, Chapter 26 in Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 321, 2009

106) E     Nasolabial folds

Blitzer A., Binder W. J., Brin M. F.: Botulinum Exotoxin A (Botox) for Facial Wrinkles, Chapter 23 in Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp. 262-267, 2002

Meyer T. K., Blitzer A.: Botulinum Toxin for Facial Wrinkles, Chapter 30 in Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third Edition, (Ira Papel, editor) pp. 369-377, 2009

 http://emedicine.medscape.com/article/1271380-overview#aw2aab6b4

107) B     The stratum spinosum

Bennett R.G.: Anatomy and Physiology of the skin in chapter 1, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp.5-6, 2002

Bennett R.G.: Anatomy and Physiology of the skin in chapter 1, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) pp.3-14, 2009

108) C     Anterior most point of the chin

Ridley M.B., Vanhook S.M.: Aesthetic Facial Proportions in chapter 9, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) p. 108, 2002

Ridley M.B., Vanhook S.M.: Aesthetic Facial Proportions in chapter 11, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 132, 2009

109) D     Arms have a 2 cm length on the neck.

Cook T.A., Guida R.A., Burke A.J.C.: Soft Tissue Techniques in chapter 3, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp. 35-36, 2002

Cook T.A., Guida R.A., Burke A.J.C.: Soft Tissue Techniques in chapter 3, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) pp. 27-39, 2009

110) D     Late exposure

Hoffmann J.F.: Tissue Expansion in Reconstruction of the Head and Neck in Chapter 45, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp. 556-557, 2002

Hoffmann J.F.: Tissue Expansion in Reconstruction of the Head and Neck in Chapter 55, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) pp. 745-756, 2009

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Updated:  May 1, 2017