1141) Which of the following issues is the LEAST important to be included in the initial consultation for rhinoplasty?
A. Dissatisfaction for nasal appearance
B. Nasal obstruction
C. Medications
D. Medical history
E. Family members perception of nasal deformity
1142) What is the MAXIMAL dose of lidocaine with epinephrine to be use in rhinoplasty?
A. 200 mg
B. 300 mg
C. 500 mg
D. 700 mg
E. 800 mg
1143) Which of the following statements in rhinoplsty is FALSE?
A. The intercartilaginous incision is made between the cephalic margin of the lower lateral cartilage and the caudal margin of the upper lateral cartilage.
B. The intracartilaginous incision is made transversely through the upper lateral cartilage
C. The intracartilaginous incision is also called transcartilaginous incision.
D. The bipedicled flap involves an intercartilaginous incision and another incision placed in the caudal margin of the lower lateral cartilage.
E. The incision for the external approach involves a broken-line tranverse incision at the anterior aspect of the columella, with a bilateral marginal incisions.
1144) Which of the following statements is TRUE regarding the thickness of the soft tissue of the nasal dorsum?
A. The soft tissues of the nasal dorsum are thinner in the upper aspect of the nose
B. The soft tissue of the nasal dorsum are thinner in the lower aspect of the nose
C. The soft tissue of the nasal dorsum are thinner in the midnasal aspect of the nose
D. The soft tissue of the nasal dorsum are thinner in the area just lateral to the midline.
E. The soft tissue of the nasal dorsum are equal in thickness in the different areas of the nose
1145) Which of the following statements is FALSE regarding rhinoplasty?
A. Reduction of a dorsal nasal hump should be conservative.
B. A dorsal nasal hump usually has both bone and cartilage components.
C. Medial osteotomies should be done first
D. Intermediate ostetomies, if necessary, should be done last
E. Lateral osteotomies should be done above the floor of the piriform aperture, immediately lateral to the anterior end of the inferior nasal turbinate.
1146) What is the name of the incision demonstrated in the drawing below?
A. IntercartilaginousB. Transcartilaginous
C. Marginal
D. Caudal
E. Cephalic
1147) Which of the following surgical techniques in rhinoplasty is NOT related with the management of an obstructed cartilaginous vault?
A. Septoplasty
B. Spreader cartilage grafts
C. Butterfly cartilage grafts
D. Flaring sutures
E. Cephalic resection of the lower lateral cartilage
1148) Which of the following statements is related to an IDEAL nasal length using the nasion, subnasale and menton is TRUE? Please note that the distance from nasion to subnasale is "a" and the distance from the subnasale to menton is "b". Therefore,
A. a=2/5 of b
B. a=3/5 of b
C. a=3/4 of b
D. a=2/3 of b
E. a=2/4 of b
1149) The angle defined by the intersection of the facial plane (glabella to pogonion) and the line tangent to the nasal dorsum is
A. 25 degrees
B. 36 degrees
C. 85 degrees
D. 120 degrees
E. 130 degrees
1150) "The point of the deepest depression at the root of the nose" is
A. Glabella
B. Pogonion
C. Nasion
D. Trichion
E. Rhinion
ANSWERS & REFERENCES
1141) E Family members perception of nasal deformity
Renner G. J.: Introduction to Rhinoplasty in chapter 171 in Head & Neck Surgery - Otolaryngology, 4th Edition, Bailey, Byron J.; Johnson, Jonas T.; Newlands, Shawn D, editors, Lippincott Williams & Wilkins, 2006, pp. 2534-2550
1142) C 500 mg
Renner G. J.: Introduction to Rhinoplasty in chapter 171 in Head & Neck Surgery - Otolaryngology, 4th Edition, Bailey, Byron J.; Johnson, Jonas T.; Newlands, Shawn D, editors, Lippincott Williams & Wilkins, 2006, pp. 2534-2550
1143) B The intracartilaginous incision is made transversely through the upper lateral cartilage
Renner G. J.: Introduction to Rhinoplasty in chapter 171 in Head & Neck Surgery - Otolaryngology, 4th Edition, Bailey, Byron J.; Johnson, Jonas T.; Newlands, Shawn D, editors, Lippincott Williams & Wilkins, 2006, pp. 2534-2550
1144) C The soft tissue of the nasal dorsum are thinner in the mid-nasal aspect of the nose
Renner G. J.: Introduction to Rhinoplasty in chapter 171 in Head & Neck Surgery - Otolaryngology, 4th Edition, Bailey, Byron J.; Johnson, Jonas T.; Newlands, Shawn D, editors, Lippincott Williams & Wilkins, 2006, pp. 2534-2550
1145) D Intermediate ostetomies, if necessary, should be done last
Renner G. J.: Introduction to Rhinoplasty in chapter 171 in Head & Neck Surgery - Otolaryngology, 4th Edition, Bailey, Byron J.; Johnson, Jonas T.; Newlands, Shawn D, editors, Lippincott Williams & Wilkins, 2006, pp. 2534-2550
1146) A Intercartilaginous
Renner G. J.: Introduction to Rhinoplasty in chapter 171 in Head & Neck Surgery - Otolaryngology, 4th Edition, Bailey, Byron J.; Johnson, Jonas T.; Newlands, Shawn D, editors, Lippincott Williams & Wilkins, 2006, pp. 2534-2550
1147) E Cephalic resection of the lower lateral cartilage
Capone R. B., Papel I.: Management of the Upper Two Thirds of the Nose in chapter 172 in Head & Neck Surgery - Otolaryngology, 4th Edition, Bailey, Byron J.; Johnson, Jonas T.; Newlands, Shawn D, editors, Lippincott Williams & Wilkins, 2006, pp. 2551-2561
1148) C a=3/4 of b
Capone R. B., Papel I.: Management of the Upper Two Thirds of the Nose in chapter 172 in Head & Neck Surgery - Otolaryngology, 4th Edition, Bailey, Byron J.; Johnson, Jonas T.; Newlands, Shawn D, editors, Lippincott Williams & Wilkins, 2006, pp. 2551-2561
1149) B 36 degrees
Capone R. B., Papel I.: Management of the Upper Two Thirds of the Nose in chapter 172 in Head & Neck Surgery - Otolaryngology, 4th Edition, Bailey, Byron J.; Johnson, Jonas T.; Newlands, Shawn D, editors, Lippincott Williams & Wilkins, 2006, pp. 2551-2561
Ridley M. B. , VanHook S. M.: Aesthetic Facial Proportions, Chapter 9 in Facial Plastic and Reconstructive Surgery, (Papel I. D. , editor), second edition, 2002, pp. 96-109
1150) C Nasion
Ridley M. B. , VanHook S. M.: Aesthetic Facial Proportions, Chapter 9 in Facial Plastic and Reconstructive Surgery, (Papel I. D. , editor), second edition, 2002, pp. 96-109
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Updated: August 5, 2017
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