1031-1040 MCQ in Facial Plastic and Reconstructive Surgery

1031-1040

1031) Which of the following is the INITIAL EVENT in wound healing?

A. Local vasoconstriction
B. Local vasodilatation
C. Increase microvascular permeability
D. Cellular response proliferation
E. Collagen synthesis

1032) Which of the following factors WILL NOT impede wound healing?

A. Diabetes mellitus
B. Venous stasis
C. Wound moisture
D. Hyperthyroidism
E. Colchicine

1033) Which of the following primary cell types are predominantly found in the DAY 6 of the wound healing process?

A. Red Blood Cell
B. Platelets
C. Neutrophils
D. Macrophages
E. Fibroblasts

1034) Which of the following cells synthesize COLLAGEN?

A. Macrophages
B. Fibroblasts
C. Lymphocytes
D. Mast cells
E. Muscle cells

1035) Which type of collagen is the MOST common in scar tissue?

A. Type I
B. Type II
C. Type III
D. Type IV
E. Type V

1036) Which of the following primary cell type in the post wound healing is the ONE indicated by the rectangle? The vertical axis represents the cell type in the wound, the horizontal axis represents the status after wounding in days.



A. Red Blood Cells
B. Macrophages
C. Neutrophils
D. Platelets
E. Fibroblasts

1037) Which of the following irrigation solutions is the ONE RECOMMENDED in the management of an acute facial wound?

A. 1% povidone-iodine solution
B. 10% povidone-iodine solution
C. Hydrogen peroxide
D. Benzalkonium chloride
E. Hypertonic saline solution

1038) The IDEAL place for using staples for skin closure IS

A. The scalp
B. The postauricular area
C. The temple area
D. The forehead
E. The neck

1039) Which of the following is NOT RECOMMENDED in facial wound suturing techniques?

A. Skin hooks are very useful in handling soft tissue
B. Avoid "dead spaces" at closure
C. The principle of "halving" is frequently used
D. Approximation of the tissue without strangulation
E. Gentle inversion of the wound edges

1040) In which of the following locations sutures can remain the LONGEST PERIOD of time?

A. Scalp
B. Face
C. Pinna
D. Neck
E. Temple

ANSWERS & REFERENCES

1031) A     Local vasoconstriction

Fisher E., Frodel Jr. J.: Wound Healing, chapter 2 in Facial Plastic and Reconstructive Surgery, Second Edition (Papel I. D, editor), Thieme, 2002, pp. 15-25

1032) C     Wound moisture

Fisher E., Frodel Jr. J.: Wound Healing, chapter 2 in Facial Plastic and Reconstructive Surgery, Second Edition (Papel I. D, editor), Thieme, 2002, pp. 15-25

1033) E      Fibroblasts

Fisher E., Frodel Jr. J.: Wound Healing, chapter 2 in Facial Plastic and Reconstructive Surgery, Second Edition (Papel I. D, editor), Thieme, 2002, pp. 15-25

Lawrence W. T.:Physiology of the Acute Wound, Wound Healing State of the Art, Clinics of Plastic Surgery. Vol. 25, No. 3, July 1998, pp321-340

1034) B     Fibroblasts

Fisher E., Frodel Jr. J.: Wound Healing, chapter 2 in Facial Plastic and Reconstructive Surgery, Second Edition (Papel I. D, editor), Thieme, 2002, pp. 15-25

Lawrence W. T.:Physiology of the Acute Wound, Wound Healing State of the Art, Clinics of Plastic Surgery. Vol. 25, No. 3, July 1998, pp321-340

1035) A     Type I

Fisher E., Frodel Jr. J.: Wound Healing, chapter 2 in Facial Plastic and Reconstructive Surgery, Second Edition (Papel I. D, editor), Thieme, 2002, pp. 15-25

Lawrence W. T.:Physiology of the Acute Wound, Wound Healing State of the Art, Clinics of Plastic Surgery. Vol. 25, No. 3, July 1998, pp. 321-340

1036) B     Macrophages

Fisher E., Frodel Jr. J.: Wound Healing, chapter 2 in Facial Plastic and Reconstructive Surgery, Second Edition (Papel I. D, editor), Thieme, 2002, pp. 15-25

Lawrence W. T.:Physiology of the Acute Wound, Wound Healing State of the Art, Clinics of Plastic Surgery. Vol. 25, No. 3, July 1998, pp. 321-340

1037) A     1% povidone-iodine solution

Maas C. S.: Wound Management and Suturing Manual, Facial Plastic Surgery, American Academy of Facial Plastic and Reconstructive Surgery,2001, pp. 16-24

1038) A     The scalp

Maas C. S.: Wound Management and Suturing Manual, Facial Plastic Surgery, American Academy of Facial Plastic and Reconstructive Surgery,2001, pp. 37-49

1039) E     Gentle inversion of the wound edges

Maas C. S.: Wound Management and Suturing Manual, Facial Plastic Surgery, American Academy of Facial Plastic and Reconstructive Surgery,2001, pp. 37-49

1040) A     Scalp

Maas C. S.: Wound Management and Suturing Manual, Facial Plastic Surgery, American Academy of Facial Plastic and Reconstructive Surgery,2001, pp. 37-49