171-180 MCQ in Facial Plastic and Reconstructive Surgery

171-180

171) The drawing below represents a local flap used to close a facial defect. Which of the following statements BEST describes this reconstructive flap?


A. Rotation
B. Transposition
C. Advancement
D. Interpolation
E. Hinge

172) Which of the following statement is TRUE regarding normal adult anatomy and position of the ear?

A. The ear width is normally about 70% of its height.
B. The ear is normally about 75 mm in height.
C. The ear sits at a distance of about one ear length from the lateral orbital rim.
D. The auricle should be about 10 degrees displaced anteriorly from the vertical axis.
E. The angle formed by the auricle and the head is 40 degrees.

173) Which of the following statements regarding the use of Tretinoin (Retin A) is TRUE?

A. The liquid preparation is the most commonly used in the treatment of photoaging.
B. Dryness of the face is a very uncommon side effect of Tretinoin use.
C. Tretinoin therapy is a short-term maintenance therapy, no more than 6 months.
D. Moisturizers are seldom used with the Tretinoin therapy.
E. Desquamation will begin approximately 2 weeks after starting the medication.

174) Which of the following systems is related to the selective toxicity of Bupivacaine?

A. Cardiac
B. Renal
C. Hepatic
D. Lymphatic
E. Pulmonar

175) Which of the following medications is COMPATIBLE with the use of Botulinum Toxin?

A. Aminoglycosides
B. Penicillamine
C. Quinine
D. Calcium channel blockers
E. Statins

176) Which of the following statements about the running W-plasty technique use in scar revision is FALSE?

A. Each limb of the triangle should be 5 mm in length.
B. The apex of the triangle should be a 60 degree angle.
C. The final triangle at the terminal corners of a running W-plasty should be 60 degree angles.
D. Use for scars oriented perpendicular to the RSTL (relaxed skin tension lines).
E. Use for unsightly scars of the cheek area.

177) Which of the following surgical techniques is the BEST for reconstruction of a full-thickness defect comprising 50% of the upper lip and NOT INVOLVING the oral commisure?

A. Abbé flap
B. Estlander flap
C. Primary closure
D. Rhomboid flap
E. Nasolabial flap

178) Which of the following surgical techniques is the MOST useful in the repair of a “whistle” deformity after bilateral clef lip repair?

A. Unilateral Z-Plasty
B. V-Y advancement
C. Elliptic excision
D. O-T Flap
E. O-Z Flap

179) Which of the following statements regarding M-Plasty is TRUE?

A. It is commonly used to lengthen a contracting scar.
B. It is commonly used to camouflage an unsightly scar.
C. It is commonly used to decrease the volume of healthy skin excised.
D. It is commonly used to break a scar into multiple irregular small segments.
E. It is commonly used to excise a scar (bilateral M-Plasty technique).

180) Which of the following blepharoplastic surgical techniques is the MOST appropriate for a 53-year-old male patient with severe skin abundance of the lower eyelid, almost no fat pocket redundancy and no evidence of lower eyelid laxity?

A. Transcutaneous blepharoplasty with skin-muscle flap
B. Transcutaneous blepharoplasty with skin flap
C. Transconjuntival blepharoplasty
D. Transconjuntival blepharoplasty with repositioning of orbital fat
E. No surgical blepharoplastic operation is indicated.


ANSWERS & REFERENCES



171) C     Advancement

Park S. S.: Local and Regional Cutaneous Flaps, in chapter 44, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp.533-534, 2002

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

Baker S. R.: Reconstruction of Facial Defects, Chapter 27 in Otolaryngology-Head and Neck Surgery (Cummings, Fredrickson, Harker, Krause, Richardson, Schuller, editors), Volume 1, Mosby, Third Edition, 1998, pp. 527-533

172) C      The ear sits at a distance of about one ear length from the lateral orbital rim.

Ruder R. O.: Microtia Reconstruction, Chapter 57 Facial Plastic and Reconstructive Surgery (Papel and Nachlas), First Edition, Mosby, p. 536, 1992

Ruder R. O.: Congenital Auricular Deformities, Chapter 75 Facial Plastic and Reconstructive Surgery (Papel I.D., editor), Third Edition, Thieme, pp. 1043-1057, 2009

173) E     Desquamation will begin approximately 2 weeks after starting the medication.

Bark J.P.: A Systematic Approach to Retin-A in Facial Plastic Surgery Clinics of North America, Volume 6 Number 1, Saunders, pp. 11-14, 1998

174) A     Cardiac

Ahlstrom K.K., Frodel J. L.: Local Anesthetics for Facial Plastic Procedures, Office-Based Procedures in Facial Plastic Surgery, Otolaryngologic Clinics of North America, Volume 35, Number 1, pp. 45-50, February 2002

Fletcher M. V.: Anesthesia in Facial Plastic Surgery, Chapter 17 Facial Plastic and Reconstructive Surgery (Papel I.D., editor), Third Edition, Thieme, pp. 189-197, 2009

175) E     Statins

Lovice D.: Botulinum Toxin Use in Facial Plastic Surgery, Office-Based Procedures in Facial Plastic Surgery, Otolaryngologic Clinics of North America, Volume 35, Number 1, Saunders, pp. 183-185, February 2002

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

176) C     The final triangle at the terminal corners of a running W-plasty should be 60 degree angles.

Park S.: Scar Revision through W-Plasty in Facial Plastic Surgery Clinics of North America, Saunders, Vol. 6 Number 2, May 1998, p. 158

 http://emedicine.medscape.com/article/838297-treatment

177) A     Abbé flap

Baker S. R.: Reconstruction of Facial Defects, Chapter 27 in Otolaryngology-Head and Neck Surgery (Cummings, Fredrickson, Harker, Krause, Richardson, Schuller, editors), Third Edition, Mosby, Vol. 1, pp. 544-548, 1998

http://emedicine.medscape.com/article/876634-treatment

178) B      V-Y advancement

Bardach J., Noordhoff M. S.: Correction of Secondary Bilateral Cleft Lip Deformities, Chapter 5, in Surgical Techniques in Cleft Lip and Palate, (Bardach, Salyer), Mosby, 1991, pp. 174-183

179) C     It is commonly used to decrease the volume of healthy skin excised.

Cook T.A., Guida R.A., Burke A.J.C.: Soft Tissue Techniques, Chapter 3 in Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) p. 29, 2002

Cook T.A., Guida R.A., Burke A.J.C.: Soft Tissue Techniques, Chapter 3 in Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 30, 2009

 http://emedicine.medscape.com/article/838297-treatment

180) B     Transcutaneous blepharoplasty with skin flap

http://emedicine.medscape.com/article/838696-overview


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Updated:  May 1, 2017