Sunday, June 17, 2012

1211-1220 MCQ in Facial Plastic and Reconstructive Surgery

1211-1220

1211) Which of the following characteristics of the Unilateral Cleft Lip Nose is FALSE?

A. The nasal tip is deflected toward the non-cleft side.
B. The length of the lower lateral cartilage on the cleft side is shorter compared to the non-cleft side.
C. The nasal floor and sill are often absent on the cleft side.
D. The caudal septum deflects toward the non-cleft side.
E. The internal nasal valve is usually compromised by the weak upper lateral cartilages.

1212) Which of the following grafts are used to increase an inadequate nasofrontal angle?

A. Dorsal onlay grafts
B. Spreader grafts
C. Radix grafts
D. Dorsal sidewall onlay grafts
E. Septal extension grafts

1213) Which of the following midface muscles is critical in the effective rejuvenation/reposition of the mid-face?

A. Orbicularis oculi muscle
B. Zygomatic major muscle
C. Levator labii superioris muscle
D. Masseter muscle
E. Orbicularis oris muscle

1214) Which of the following nasal areas  IS NOT indicated to implant GORE-TEX  in Rhinoplasty?

A. Nasal dorsum
B. Supratip dorsum
C. Nasal tip
D. Lateral nasal wall
E. Premaxilla

1215) A 55-year-old woman is consulting you for  a possible blepharoplasty. She has had a recent LASIK surgery. What is the proper timing to perform a blepharoplasty in this patient?

A. There is no time contraindication for blepharoplasty and LASIK surgery.
B. The patient should wait 1 month after her LASIK surgery.
C. The patient should wait 2 months after her LASIK surgery.
D. The patient should wait 4 months after her LASIK surgery.
E. The patient should wait 6 months after her LASIK surgery.

1216) Which of the following statement is FALSE regarding the drawing presented below?.  A forceps elevates the alar complex and a transdomal suture is placed. The alar complex is excised.
A. The delivery approach is used in conjunction with a transfixion incision.
B. The excision involves the resection of the dome and the adjacent lateral crura.
C. The presented resection will deproject the nasal profile.
D. Alar flaring can occur using  this  technique.
E. Alar base reduction is contraindicated associated with this technique.

1217) Which of the following medical conditions is NOT related to an increased risk for lower eyelid retraction in the execution of a lower eyelid blepharoplasty?

A. Globe prostosis
B. High myopia
C. Hypoplasia of the malar eminence
D. Diabetes
E. Thyroid ophthalmopathy

1218) Which of the following statements regarding GORE-TEX is TRUE?

A. Gore-Tex is a Porous High-density Polyethylene.
B. Gore-Tex has pore sizes ranging from 125-250 µm
C. Gore-Tex can be used for columellar graft augmentation.
D. Gore-Tex most common complication is infection.
E. Gore-Tex implant extrusion rate is high

1219) Which of the following statements regarding PORT WINE STAINS is FALSE?

A. Port Wine Stains are present at birth.
B. Port Wine Stains grow in proportion to child's growth.
C. Port Wine Stains will not regress spontaneously.
D. PDL is the most accepted laser used in the treatment of Port Wine Stains.
E. 60% of patients will require treatment

1220) Which of the following  muscle that exerts a force on the mandible is considered a depressor-retractor?

A. Temporalis
B. Masseter
C  Median pterygoid
D. Lateral pterygoid
E. Mylohyoid



ANSWERS & REFERENCES

1211) B      The length of the lower lateral cartilage on the cleft side is shorter compared to the non-cleft side.

Coleman Jr J. R., Sykes J. M.: Cleft Lip Rhinoplasty, Chapter 66 in Facial Plastic and Reconstructive Surgery, Second Edition (Papel, Ira), 2002, pp. 830-843

1212) C     Radix grafts

 Gunter J. P., Landecker A., Cochran C. S.: Frequently Used Grafts in Rhinoplasty Nomenclature and Analysis, Plast Reconstr Surg 2006; 118(1):14e-29e

1213) A     Orbicularis oculi muscle

Paul M. D., Calvert J. W., Evans G. R. D.: The Evolution of the Midface Lift in Aesthetic Plastic Surgery, Plast Reconstr Surg. 2006; 117(6):1809-182

1214) C      Nasal tip

Conrad K., Torgerson C. S., Gillman G. S.: Applications of GORE-TEX implants in Rhinoplasty Reexamined After 17 years, Arch Facial Plast Surg. 2008; 10(4); 224-231

1215) E      The patient should wait 6 months after her LASIK surgery.

Friendland J. A., Lalonde D. H., Rohrich R. J.: An evidence-Based Approach to Blepharoplasty, Plast Reconstr Surg. 2010; 126 (6); 2222-2229

1216) E      Alar base reduction is contraindicated associated with this technique.

Papel I. D., Mabrie D. C.: Deprojecting the Nasal Profile, Rhinoplasty and Septoplasty, Part I, in Otolaryngolocic Clinics of North America, Vol. 32, No. 1, February 1999, pp.65-87

Kridel RW, Konior RJ.: Dome truncation for management of the overprojected nasal tip, Ann Plast Surg. 1990 May;24(5):385-96.

1217) D       Diabetes

Lelli Jr G. J., Lisman R. D.: Blepharoplasty Complications, Plast. Reconstr Surg. 2010; 125(3);1007-1017

1218) D     Gore-Tex most common complication is infection.

Peled Z. M., Warren A. G., Johnston P. , Yaremchuk M. J.: The Use of Alloplastic Materials in Rhinoplasty Surgery; A Meta-Analysis, Plast Reconstr Surg. 2008; 121(30; 85e-92e

1219) E       60% of patients will require treatment

Stier M. F., Glick S. A., Hirsch R. J.: Laser Treatment of Pediatric Vascular Lesions: Port Wine Stains and Hemangiomas, J. Am. Acad. Dermatol. 2008; 58:261-285

1220) E        Mylohyoid

Stanley Jr., R. B.: Maxillofacial Trauma, chapter 24  Otolaryngology Head and Neck Surgery, (Cummings, Fredrickson, Harker, Krause, Richardson, Schuller, editors), Third Edition, 1998, pp.453-485

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Updated: August 5, 2017

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