1201-1210 MCQ in Facial Plastic and Reconstructive Surgery

1201-1210

1201)The use of retinoid treatments for the face, such as a isotretinoin (Accutane), will induce atrophy of the

A. Keratinocytes cells
B. Adipose cells
C. Sebaceous glands
D. Hair follicles
E. Melanocytes cells

1202) Which of the following components is CRITICAL in the hemostatic phase of wound healing?

A. Neutrophils
B. Macrophages
C. Platelets
D. Lymphocytes
E. Red blood cells

1203) Which of the following components is CRITICAL in the synthesis of collagen?

A. Vitamin A
B. Vitamin C
C. Zinc
D. Vitamin E
E. Vitamin K

1204) Which of the following treatment modalities is THE MOST accepted in the treatment and prevention of an hypertrophic scar?

A. Massage therapy
B. Onion extract
C. Vitamin E
D. Silicone gel sheeting
E. Topical imiquimod 5% cream

1205) Which is the MOST common adverse effect of Pulse Dye Laser (PDL)?

A. Permanent purpura
B. Transient purpura
C. Hyperpigmentation
D. Hypopigmentation
E. Edema

1206) What is the name of the surgical technique used in the repair of the left forehead defect?

A. Jury flap
B. Worthen flap
C. Island flap
D. Orticochea flap
E.  Hatchet flap

1207) Which of the following laser is considered "the gold standard" for the treatment of hypertrophic scars and keloids?

A.CO2 laser
B. Nd:YAG laser
C. Er:YAG laser
D. PDL laser
E. Argon laser

1208) Which of the following topical prevention/treatment for post-surgical scars have NOT been shown to improve scar appearance?

A. Vitamin E
B. Pressure garment
C. Silicone Gel Sheeting (SGS)
D. Petrolatum ointment
E. Imiquimod cream

1209) Which of the following statements regarding dermabrasion for facial scars is FALSE?

A. Timing for dermabrasion is usually within the first month of the wound production.
B. Penetration into the papillary dermis will produce a diffuse pinpoint bleeding.
C. Penetration into the reticular dermis will produce a yellow chamois color appearance.
D. Reepithelization usually occurs within 10 days after dermabrasion
E. Erythema is expected, persisting for weeks to months, generally resolves with time.

1210) Which of the following vitamins or trace elements in high doses has been associated with delayed wound healing ?

A. Vitamin A
B. Vitamin C
C  Vitamin E
D. Zinc
E. Iron

ANSWERS & REFERENCES

1201) C      Sebaceous glands

Gantwerker E. A., Horn D. B.: Skin: Histology and Physiology of Wound Healing, (Steven Ross Mobley, Guest editor), Facial Plastic Clinic of North America, Vol.19, No. 3, Aug. 2011, pp. 441-453

1202) C      Platelets

Gantwerker E. A., Horn D. B.: Skin: Histology and Physiology of Wound Healing, (Steven Ross Mobley, Guest editor), Facial Plastic Clinic of North America, Vol.19, No. 3, Aug. 2011, pp. 441-453

1203) B       Vitamin C

Gantwerker E. A., Horn D. B.: Skin: Histology and Physiology of Wound Healing, (Steven Ross Mobley, Guest editor), Facial Plastic Clinic of North America, Vol.19, No. 3, Aug. 2011, pp. 441-453

1204) D      Silicone gel sheeting

Foo C. W. , Tristani-Firouzi P.: Skin: Topical Modalities for Treatment and Prevention of Postsurgical Hypertrophic Scars, Scars: Prevention, Correction, and Reduction, (Mobley S. R., Guest editor), Facial Plastic Clinic of North America, Vol.19, No. 3, Aug. 2011, pp. 543-550

1205) B        Transient purpura

 Alster T., Zaulyanov-Scanlon L.: Laser Scar Revision: A review, Dermatol. Surg.; 33:131-140
Sobanko J. F, Alster T. S.: Laser Treatment for Improvement and Minimization of Facial Scars,  Scars: Prevention, Correction, and Reduction, (Mobley S. R., Guest editor), Facial Plastic Clinic of North America, Vol.19, No. 3, Aug. 2011, pp. 527-542

1206) B         Worthen flap

http://emedicine.medscape.com/article/876972-treatment#a1133

1207) D        PDL laser

Sobanko J. F., Alster T. S.: Laser Treatment for Improvement and Minimization of Facial Scars, Scars: Prevention, Correction and Reduction, (Mobley S.R., Guest Editor), August 2011, Vol. 19, No. 3, pp. 527-542

1208) A       Vitamin E 

Sidle D. M., Decker J. R.: Use of Makeup, Hairstyles, Glasses, and Prosthetics as Adjuncts to Scar Camouflage,  Scars: Prevention, Correction and Reduction, (Mobley S.R., Guest Editor), August 2011, Vol. 19, No. 3, pp. 481-489

1209) A       Timing for dermabrasion is usually within the first month of the wound production.

Surowitz J. B., Schockley W. W.: Enhancement of Facial Scars with Dermabrasion,  Scars: Prevention, Correction and Reduction, (Mobley S.R., Guest Editor), August 2011, Vol. 19, No. 3, pp. 517-525

1210) C       Vitamin E

 Fisher E. , Frodel Jr. J. L.: Wound Healing, chapter 2 in Facial Plastic and Reconstructive Surgery (Paperl I. D., editor), Third Edition, Thieme, 2009, pp. 15-25

Burns J. L., Mancoll J. S., Phillips, L. G.: Impairments to Wound Healing, Clin Plastic Surgery 30, 2003, pp. 47-56


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Updated: August 5, 2017