131-140 MCQ in Facial Plastic and Reconstructive Surgery

131-140

131) The IDEAL obtuse angle represented in the rhombic flap (Limberg flap design) shown in the drawing below should be?

A. 70 degrees
B. 80 degrees
C. 100 degrees
D. 120 degrees
E. 140 degrees

132) Which of the following side effects is MOST commonly seen in laser skin resurfacing?

A. Erythema
B. Edema
C. Pruritus
D. Hypopigmentation
E. Scarring in overlapping areas

133) Which of the following represents THE ONSET of a herpes simplex infection after a carbon laser skin resurfacing procedure?

A. Erythema
B. Edema
C. Pruritus
D. Vesicles
E. Pain

134) Which of the following regarding the diagnosis of flap venous congestion is FALSE?

A. The flap is warm.
B. The flap has an edematous appearance.
C. The flap has a purplish blue color.
D. The flap’s color blanches with pressure but does not refill.
E. A pinprick demonstrates dark venous blood.

135) Which of the following statements regarding cosmetic surgery of the Asian Face is TRUE?

A. 90% of Asian faces exhibit a “single eyelid”.
B. In the Asian eye, filaments of the levator penetrate the orbital septum and the orbicularis muscle and attach to the overlying dermis
C. Most Asian patients are requesting eye westernization.
D. Hypertrophic scarring of the face is more common in Asians than Caucasians.
E. Skin malignancies are more common among Asians than Caucasians

136) Which of the following operative maneuvers will DECREASE projection in rhinoplastic surgery?

A. Lateral crural steal
B. Plumping grafts
C. Premaxillary grafts
D. Nasal spine reduction
E. Tip Grafts

137) Which of the following is the recommended wait time prior TO STARTING sequential inflation after insertion of a scalp tissue expanders?

A. 1 week
B. 2 weeks
C. 3 weeks
D. 4 weeks
E. 6 weeks

138) Which of the following statements regarding hair transplantation is TRUE?

A. Minigrafts are used at the most anterior portion of the hairline.
B. Minigrafts comprise from 3-8 hair follicles.
C. Micrografts are used at the crown and vertex.
D. Micrografts have a success rate of approximately 75%
E. Plan the hairline in a lower and wider position.

139) Which of the folllowing IMPLANTABLE MATERIALS is an injectable autologous soft tissue material derived from cultured human fibroblasts?

A. Autologen
B. Alloderm
C. Autologous dermal grafting
D. Dermalogen
E. Isolagen

140) Which of the following statements comparing the Erbium Laser to the CO2 Laser in Skin Resurfacing is FALSE?

A. Erbium Laser energy absorption remains very superficial.
B. The depth of vaporization after one pass is 25 μm.
C. Erbium Laser has a faster healing time.
D. Erbium Laser has less postoperative erythema and pigmentation problems.
E. Erbium Laser is useful in treating deeper wrinkles and severe photo-damage.


ANSWERS & REFERENCES



131) D     120 degrees

Park S. S.: Local and Regional Cutaneous Flaps, Chapter 44, Facial Plastic and Reconstructive Surgery, second edition (Ira Papel, editor), Thieme Medical Publishers, pp. 538-539, 2002

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

 http://emedicine.medscape.com/article/879923-treatment#a1133

132) A     Erythema

Hecht D.A., Toriumi D.M.: Laser Skin Resurfacing, Head and Neck Surgery-Otolaryngology, (Bailey B.J., editor) Lippincott Williams & Wilkins) Third Edition, Chapter 189, 2001, p. 2467-2468

Carniol P. J., Harmon C.B., Hamilton M. M.: Ablative Laser Facial Skin Rejuvenation, Chapter 26, Facial Plastic and Reconstructive Surgery, Third edition (Ira Papel, editor), Thieme Medical Publishers, pp. 321-330, 2009

133) E     Pain


Hecht D.A., Toriumi D.M.: Laser Skin Resurfacing, Head and Neck Surgery-Otolaryngology, (Bailey B.J., editor) Lippincott Williams & Wilkins) Third Edition, Chapter 189, 2001, p. 2467-2468

Carniol P. J., Harmon C.B., Hamilton M. M.: Ablative Laser Facial Skin Rejuvenation, Chapter 26, Facial Plastic and Reconstructive Surgery, Third edition (Ira Papel, editor), Thieme Medical Publishers, pp. 321-330, 2009

134) D     The flap’s color blanches with pressure but does not refill.

Park S.S.: Local and Regional Cutaneous Flaps, Chapter 44, Facial Plastic and Reconstructive Surgery, second edition (Ira Papel, editor), Thieme Medical Publishers, pp. 546-547, 2002

Park S. S.: Local and Regional Cutaneous Flaps, Chapter 54, Facial Plastic and Reconstructive Surgery, Third edition (Ira Papel, editor), Thieme Medical Publishers, pp. 741-742, 2009

135) D     Hypertrophic scarring of the face is more common in Asians than Caucasians.

McCurdy Jr., J.A.: Cosmetic Surgery of the Asian Face, Chapter 28, Facial Plastic and Reconstructive Surgery, second edition (Ira Papel, editor), Thieme Medical Publishers, pp. 322-323, 2002

McCurdy Jr., J.A.: Cosmetic Surgery of the Asian Face, Chapter 35, Facial Plastic and Reconstructive Surgery, Third edition (Ira Papel, editor), Thieme Medical Publishers, pp. 435-458, 2009

136) D     Nasal spine reduction

Becker D.G.: Complications of Rhinoplasty, Chapter 39, Facial Plastic and Reconstructive Surgery, second edition (Ira Papel, editor), Thieme Medical Publishers, p. 453, 2002

Becker D.G.: Complications of Rhinoplasty, Chapter 49, Facial Plastic and Reconstructive Surgery, Third edition (Ira Papel, editor), Thieme Medical Publishers, p. 641, 2009

137) B     2 weeks

Hoffmann J.F.: Tissue Expansion in Reconstruction of the Head and Neck, Chapter 45, Facial Plastic and Reconstructive Surgery, second edition (Ira Papel, editor), Thieme Medical Publishers, p. 555, 2002

Hoffmann J.F.: Tissue Expansion in Reconstruction of the Head and Neck, Chapter 55, Facial Plastic and Reconstructive Surgery, Third edition (Ira Papel, editor), Thieme Medical Publishers, p. 751, 2009

Konior J. R., Kridel R.W.H.: Tissue Expansion in Scalp Surgery, Hair Replacement Surgery, Facial Plastic Surgery Clinics of North America, Vol. 2, No. 2, May 1994, p. 208

138) B     Minigrafts comprise from 3-8 hair follicles.

Buchwach K.A.: Standard Grafts, Minigrafts and Micrografts, Their use in Hair Transplantation, Facial Plastic Clinics of North America, Vol. 2, No. 2, May 1994, pp. 149-161

139) E     Isolagen

Monhian N., Ahn M. S., Maas C. S.:Injectable and Implantable Materials for Facial Wrinkles, Chapter 22 in Facial Plastic and Reconstructive Surgery, (Papel I.D. , edittor), Second Edition, 2002, pp.248-252

Maas C. S., Yu K.C. Y., Egan K. K.:Neuromodulators and Injectable Soft Tissue Substitutes, Chapter 28 in Facial Plastic and Reconstructive Surgery, (Papel I.D. , edittor), Third Edition, 2009, pp. 337-353

140) E     Erbium Laser is useful in treating deeper wrinkles and severe photo-damage.

Hecht D.A., Toriumi D.M.: Laser Skin Resurfacing, Chapter 189, Head and Neck Surgery-Otolaryngology, (Bailey B.J., editor) Lippincott Williams & Wilkins) Third Edition, 2001, p. 2468

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Updated:  May 1, 2017