141-150 MCQ in Facial Plastic and Reconstructive Surgery

141-150

141) Which of the following lines represents THE VECTOR OF MAXIMUN TENSION in the rhombic flap below? Click the picture to enlarge image.

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

142) Which of the following statements regarding the Juri Flap is TRUE?

A. The Juri flap's blood supply is based on the deep temporal artery.
B. The Juri flap has a 4 cm width.
C. The Juri flap seldom needs a dog-ear revision.
D. The Juri flap is transposed after one delay procedure.
E. The Juri flap is undermined in the subperiosteal plane.

143) The timing for the SECOND DELAY in the temporo-parietal-occipital (TPO) flap is:

A. 3 days
B. 7 days
C. 2 weeks
D. 3 weeks
E. 4 weeks

144) Which of the following anatomic areas is THE IDEAL LOCATION for tissue expansion?

A. Scalp
B. Nose
C. Ear
D. Cheek
E. Neck

145) Which of the following organisms is MOST commonly associated with infection produced by medical leeches?

A. Pseudomonas aeruginosa
B. Aeromona hydrophila
C. Bacteroides fragilis
D. Staphylococcus aureus
E. Aspergillus

146) Which of the following cells are implicated in the production of TROPOCOLLAGEN UNITS?

A. Macrophages
B. Fibroblasts
C. Lymphocytes
D. Endothelial cells
E. Smooth-muscle cells

147) Which of the following statements is FALSE regarding tissue expanders?

A. The forehead is an ideal location for tissue expansion.
B. In the scalp expanders are placed deep to the galea and superficial to the periosteum.
C. Nerve tissue tolerates expansion poorly.
D. Adipose tissue is intolerant of tissue expansion.
E. After tissue expander insertion 14 days is usually allowed before inflation is initiated.

148) Which of the following cell types have been RELATED to the mediation of immunologic responses within the skin?

A. Keratinocytes
B. Langerhans’ Cells
C. Merkel’s Cells
D. Melanocytes
E. Cuboidal cells of the basal layer

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

A. Temple
B. Concave surface of the eye
C. Antihelix
D. Forehead
E. Chin

150) Which of the following antibiotics is NOT a contraindication for the use of Botulinum Exotoxin A (Botox)?

A. Kanamycin
B. Amikacin
C. Tobramycin
D. Gentamicin
E. Clindamycin


ANSWERS & REFERENCES



141) A     A

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

142) B     The Juri flap has a 4 cm width.

Konior R.J., Kridel R.W.H.: Management of Alopecia, Chapter 188, Head and Neck Surgery-Otolaryngology, (Bailey B.J., editor), Lippincott Williams & Wilkins, Third Edition, Volume Two, 2001, pp. 2458-2459

Bassichis B. A., Konior R.J.: Management of Alopecia, Chapter 184, Head and Neck Surgery-Otolaryngology, (Bailey B.J., editor), Lippincott Williams & Wilkins, 4th Edition, Volume Two, 2006, pp. 2749-2759

143) B     7 days

Rousso D.E.: The Use of Scalp Flaps for Frontal Alopecia Facial Plastic Surgery Clinics of North America, Hair Replacement Surgery, Saunders, Vol. 2, Number 2, May 1994, pp. 183-193

Bassichis B. A., Konior R.J.: Management of Alopecia, Chapter 184, Head and Neck Surgery-Otolaryngology, (Bailey B.J., editor), Lippincott Williams & Wilkins, 4th Edition, Volume Two, 2006, pp. 2749-2759

Ende K. H., Kabaker S. S.: Hair Restoration: Medical and Surgical Techniques, Chapter 26 in Cummings Otolaryngology-Head and Neck Surgery,  Fifth edition, Volume one, Mosby Elsevier, 2010, pp. 373-389

144) A     Scalp

Hoffmann J.F.: Tissue Expansion in Reconstruction of the Head and Neck, Chapter 45, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp. 551-552, 2002

Hoffmann J.F.: Tissue Expansion in Reconstruction of the Head and Neck, Chapter 55, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) pp. 745-755, 2009

Baker S. R.: Reconstruction of Facial Defects, chapter 24 in Cummings Otolaryngology-Head and Neck Surgery, Fifth edition, Volume one, Mosby Elsevier, 2010, pp. 342-363

145) B     Aeromona hydrophila

Utley D.S., Koch R.J., Goode R.L.: The Failing Flap in Facial Plastic and Reconstructive Surgery: Role of the Medicinal Leech, Laryngoscope 108, August 1998, pp 1129-1135

http://emedicine.medscape.com/article/1284841-overview

146) B     Fibroblasts

Fisher E., Frodel Jr. J. L.: Wound Healing, Chapter 2, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp. 18-19, 2002

Fisher E., Frodel Jr. J. L.: Wound Healing, Chapter 2, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) pp. 15-25, 2009

147) C     Nerve tissue tolerates expansion poorly.

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. 549-559, 2002

Hoffmann J.F.: Tissue Expansion in Reconstruction of the Head and Neck, Chapter 55, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) pp. 745-755, 2009

148) B     Langerhans’ Cells

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

149) E     Chin

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. 703-719, 2009

150) E     Clindamycin

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, Thhird edition (Ira Papel, editor) pp. 369-377, 2009

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Updated:  May 1, 2017