Tuesday, October 4, 2011

1061-1070 MCQ Facial Plastic and Reconstructive Surgery

1061-1070 

1061) Which of the following TYPE of Hamilton-Norwood alopecia classification is capable to achieve THE BEST and MORE NATURAL result with hair replacement surgery?

A. Type I
B. Type II
C. Type IV
D. Type VI
E. Type VII

1062) Which of the following hair conditions is a CONTRAINDICATION for a hair replacement surgery?

A. Androgenic alopecia
B. Traumatic alopecia
C. Male pattern alopecia
D. Diffuse female pattern baldness
E. Traction alopecia

1063) Which of the following is considered a MAJOR criteria in the diagnosis of skin melanoma in the revised Glasgow seven-point checklist?

A. Changes in color
B. Crusting
C. Bleeding
D. Inflammation
E. Sensory changes

1064) Which of the following in NOT considered a favorable characteristic in a female facelift candidate?

A. Strong forward chin
B. Minimal photo-aging
C. Prominent cheek structure
D. Low hyoid bone
E. Shallow cheek/lip grooves

1065) Which of the following is NOT a feature of the African American nose?

A. Bulbous nasal tip
B. Short columella
C. Poor tip projection
D. Thin alar skin
E. Depressed nasal dorsum

1066) What will be the theoretical increase in length of the Z-plasty represented in the drawing below?

A. 15%
B. 25%
C. 50%
D. 60%
E. 75%

1067) Which of the following is FALSE regarding the Hughes procedure for lower eyelid reconstruction?

A. It is used in near total full-thickness lower eyelid defect.
B. It consists of a tarso-conjuntival flap from the upper eyelid.
C. The tarso-conjuntival flap is combined with a full-thickness skin graft
D. The tarso-conjuntival flap can be combined also with a myocutaneous flap from the lower eyelid
E. It is one-stage technique of eyelid reconstruction

1068) Which of the following carcinoma is the MOST common in the eyelid area?

A. Basal cell carcinoma
B. Squamous cell carcinoma
C. Sebaceous carcinoma
D. Malignant melanoma
E. Adenocarcinoma

1069) Which of the following region of the eyelid is MOST commonly involved by malignant skin lesions?

A. Upper eyelid
B. Lower eyelid
C. Medial canthus
D. Lateral canthus
E. Periorbital area adjacent to the eyelid

1070) Which of the following statement is FALSE regarding secondary intention healing in the eyelids?

A. The ideal wound should be superficial.
B. The ideal wound should not expose bone
C. The ideal should not expose cartilage
D. The ideal wound should be less than 25 % of the entire eyelid surface.
E. The ideal candidate should be a young individual rather than an old patient.



ANSWERS & REFERENCES


1061) C     Type IV

http://emedicine.medscape.com/article/1284907-workup#a0724

1062) D     Diffuse female pattern baldness

http://emedicine.medscape.com/article/1284907-overview#a05

1063) A     Changes in color

Ammirati C. T., Hruza G. H.: Clinical Presentations of cutaneous melanoma, Facial Plastic Surgery Clinics North America, Vol. 13, No. 1, February 2005, pp.33-46

1064) D     Low hyoid bone

Kock R, J., Hanasono M. M..: Aesthetic Facial Analysis, chapter 16 in Facial Plastic and Reconstructive Surgery, (Papel, I. D., editor), Third edition, Thieme, 2009 pp. 177-188

1065) D     Thin alar skin

Stucker F. J., Lian T., Sanders K.: African American Rhinoplasty, Facial Plastic Surgery Clinics North America, Vol. 13, No. 1, February 2005

1066) E     75%

Kokoska M. S., Thomas J. R.: Scar Revision, chapter 5 in Facial Plastic and Reconstructive Surgery, Second Edition, (Ira Papel, editor), Thieme, 2002, pp. 55-60

1067) E     It is one-stage technique of eyelid reconstruction

Kaltreider S. A.: Periocular Reconstruction, chapter 52 in Facial Plastic and Reconstructive Surgery, Second Edition, (Ira Papel, editor), Thieme, 2002, pp. 646-659

1068) A     Basal cell carcinoma

http://www.emedicine.com/plastic/TOPIC10.HTM

1069) B     Lower eyelid

Funk G. F., Hoffman H. T., Carter K. D.: Special Considerations in the Management of Malignant Skin Lesions about the Eye, Facial Skin Malignancies, II, Otolaryngologic Clinics of North America, Vol. 26, No. 2, April 1993, pp. 215-230

1070) E     The ideal candidate should be a young individual rather than an old patient.

Chandler D. B., Gausas R. E.: Lower Lid Reconstruction, Otolaryngologic Clinics of North America, Vol. 38, No. 5, October 2005, pp. 1033-1042

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