221) Which of the following local flaps is the ONE represented in the drawing below?
A. Classic rhomboid interposition flapB. Classic rhomboid flap with an M-Plasty
C. Limberg flap
D. Webster flap
E. Dufourmentel flap
222) Which of the following treatments for hyperpigmentation occurring after phenol peeling IS INCORRECT?
A. Hydroquinone cream
B. Hydrocortisone cream
C. Use of sun-block daily
D. Estrogens
E. Avoidance of direct sunlight
223) In which type of the PHOTOAGING FITZPATRICK CLASSIFICATION is included a 55-year-old woman who rarely burns, tans profusely and has a brown skin color?
A. Type II
B. Type III
C. Type IV
D. Type V
E. Type VI
224) Which of the following chemical peelings is the one MOST LIKELY to produce hypopigmentation changes?
A. Trichloroacetic acid (TCA) 10%
B. Trichloroacetic acid (TCA) 35%
C. Glycolic acid 40%
D. Phenol (Baker-Gordon solution)
E. Jessner’s solution
225) Which of the following scar revision techniques is the one INDICATED for the trapdoor or pincushion scar deformity?
A. Running W-Plasty
B. Geometric Broken Line Closure
C. Serial Excision
D. Single Excision
E. Single Z-Plasty
226) Which of the following complications is MOST commonly noted in chemical peeling?
A. Infection
B. Scarring
C. Milia
D. Pigmentary changes
E. Cardiac arrhythmias
227) Which of the following incisions is NOT USED in the approach and repair of a Le Fort I, Le Fort II or Le Fort III fracture?
A. Sublabial incision (gingivo-labial incision)
B. Zygomatic arch incision (Gillies approach)
C. Bicoronal incision
D. Subciliary incision
E. Transconjuntival incision
228) 48 hours after Er:YAG laser resurfacing a diffuse eruption with small papules developed. Cultures were negative. A potassium hydroxide examination was negative for yeast.
A Tzanck smear is positive. The BEST treatment in this particular patient is
A. Topical corticosteroids
B. Acyclovir p.o.
C. Topical hydroquinone
D. Ciprofloxacin p.o.
E. Amoxicilin-clavulanic acid p.o.
229) Which of the following statements is TRUE in relation to the treatment of fine rhytids of the lower eyelid associated with blepharoplasty?
A. Ample resection of the eyelid skin will unfold the rhytids.
B. TCA is used for fine rhytids in conjunction with skin flap technique.
C. Glycolic acid is used for fine rhytids in conjunction with skin flap technique.
D. TCA is used for fine rhytids in conjunction with skin-muscle flap technique.
E. Phenol is used for fine rhytids in conjunction with skin-muscle flap technique.
230) Which of the following statements regarding “tip recoil phenomenon” is TRUE?
A. It is related to the maximum degree of possible tip rotation.
B. It is related to the upper lateral cartilage.
C. It is related to the distance between domes in tip bifidity.
D. It is related to the lower lateral cartilage.
E. It is related to the upper lateral cartilage and lower lateral cartilage as a unit.
ANSWERS & REFERENCES
221) D Webster flap
Park Stephen S.: Local and Regional Cutaneous Flaps, Chapter 44 Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp.538-539, 2002
Park S. S.: Local and Regional Cutaneous Flaps, Chapter 54 in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Third Edition, p.p. 721-743, 2009
http://emedicine.medscape.com/article/879923-treatment232) 222) D Estrogens
Koranda F. C.: Chemical Peeling, Chapter 185, in Head and Neck Surgery-Otolaryngology (Bailey), Third Edition, Lippincott Williams & Wilkins, p. 2412, 2001
Staffel J. G.: Chemical Peeling, Chapter 182A, in Head and Neck Surgery-Otolaryngology (Bailey), 4th Edition, Lippincott Williams & Wilkins, p. 2721 , 2006
Brody R. M., Mangat D. S.: Combining Resurfacing Modalities, Rejuvenation of the Lower Face and Neck, Facial Plastic Surgery Clinics of North America, Saunders, Volume 8, Number 2, p.135, 2000
Staffel J. G.: Chemical Peeling, Chapter 182A, in Head and Neck Surgery-Otolaryngology (Bailey), 4th Edition, Lippincott Williams & Wilkins, p. 2721 , 2006
Perkins S. W., Sandel IV H. D.: Management of Aging Skin, chapter37 in Otolaryngology-Head and Neck Surgery, Fifth edition, Volume one, Mosby Elsevier, 2010, pp. 390-404
224) D Phenol (Baker-Gordon solution)
Koranda F. C.: Chemical Peeling, Chapter 185, in Head and Neck Surgery-Otolaryngology (Bailey), Third Edition, Lippincott Williams & Wilkins, p. 2416, 2001
Staffel J. G.: Chemical Peeling, Chapter 182A, in Head and Neck Surgery-Otolaryngology (Bailey), 4th Edition, Lippincott Williams & Wilkins, p. 2721 , 2006
Perkins S. W., Sandel IV H. D.: Management of Aging Skin, chapter 27 in Cummings Otolaryngology-Head and Neck Surgery, Fifth edition, Volume one, Mosby Elsevier, 2010, pp. 390-404
Holt G. R.: Treatment of Trapdoor Scars, Chapter 20, Facial Scars, Incision, Revision & Camouflage (Thomas, Holt), Mosby, pp. 271-277, 1989
226) D Pigmentary changes
Koranda F. C.: Chemical Peeling, Chapter 185, in Head and Neck Surgery-Otolaryngology (Bailey), Third Edition, Lippincott Williams & Wilkins, pp. 2412-2413, 2001
Doerr T. D., Mathog R. H.: Le Fort Fractures (Maxillary Fractures), Chapter 60, in Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) p. 763, 2002
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. 246, 2002
229) D TCA is used for fine rhytids in conjunction with skin-muscle flap technique.
http://emedicine.medscape.com/article/838696-overview
230) D It is related to the lower lateral cartilage.
Tardy M. E., Toriumi D. M., Hecht D. A.: Philosophy and Principles of Rhinoplasty, Chapter 32 Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp. 369-375, 2002
Tardy M. E., Toriumi D. M., Hecht D. A.: Philosophy and Principles of Rhinoplasty, Chapter 40 Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) pp. 507-528, 2009
Tardy M. E. , Thomas J. R.: Rhinoplasty, chapter 36 in Cummings Otolaryngology-Head and Neck Surgery, Fifth edition, Mosby, Elsevier, 2010, pp. 508-544
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Updated: May 1, 2017
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