1221-1230 MCQ in Facial Plastic and Reconstructive Surgery

1221-1230

1221) The Furlow double-opposing Z-plasty technique used to repair a cleft of the soft palate will have the following advantage

A. Less incidence of palatal fistula
B. Less incidence of bleeding
C. Less incidence of airway compromise
D. Less incidence of velopalatal insufficiency
E. Less technical difficulties, easy to perform

1222) Which of the following statements regarding CO2 laser resurfacing is FALSE?

A. Topical anesthetic is adequate for a facial CO2 laser resurfacing.
B. Prophylactic  antivirals medications for all patients undergoing C02 laser resurfacing are mandatory.
C. The use of prophylactic antibiotics in C02 laser resurfacing in not universally used.
D. A typical "yellow chamois" is seen when the laser enters the reticular dermis.
E. Viral and bacterial infections are heralded by intense postoperative pain.

1223) The proper design of an Scalp Rotation Flap WILL REQUIRE

A. An arc 2 times the diameter of the defect
B. An arc 3 times the diameter of the defect
C. An arc 4 times the diameter of the defect
D. An arc 5 times the diameter of the defect
E. An arc 6 times the diameter of the defect

1224) Which of the following laser is considered an ABLATIVE facial laser?

A. Er:YAG laser
B. 532 nm laser
C. 1320 nm Nd:YAG laser
D. 1450 nm Diode laser
E. Fraxel laser

1225) Which of the following statements is TRUE regarding Sculptra?

A. It is an injectable form dimethylpolysiloxane.
B. It is immunologically active.
C. Skin testing is necessary prior to treatment.
D. It is approved  for treatment of facial lipo-atrophy associated with HIV disease.
E. One injection is usually necessary for significant improvement

1226) Which of the following statements regarding the "STAIRCASE" method presented below used for lip reconstruction is FALSE?

A. It is used for defects up to two-thirds of the lower lip.
B. This flap can be used only unilaterally - not bilaterally - or in combination with other flaps.
C. Each horizontal "step" used in the reconstruction measures half the defect.
D. The orbicularis muscle fibres are not altered and the lip innervation is preserved.
E. This technique is based on the advancement principle of local soft tissue.

1227) Which of the following statements regarding tissue expansion devices is FALSE?

A. The standard tissue expander is composed of a silastic reservoir, and injection port and connecting tubing.
B. The rectangular shape device will achieve the least gain in surface area.
C. The size of the expander base should be 2.5-3 times the size of the defect to be closed.
D. The donor site should be an area adjacent to the defect with tissue similar to that being replaced.
E. Tissue expander will stimulate proliferation of blood vessels in the expanded area.

1228) Which of the following statements regarding tissue adhesives is TRUE?

A. Cyanoacrylate tissue adhesives are designed for superficial and deep tissue use.
B. Butyl-cyanoacrylate is a long-chained derivatives with a slow breakdown rate of degradation.
C. Cyanoacrylate tissue adhesives breakdown are not toxic to the tissues.
D. Fibrin tissue adhesives are contraindicated in facelift surgery
E. BioGlue is a tissue adhesive primarily use for vascular anastomosis.

1229) The RECOMMENDED management of a giant congenital hairy nevus is

A. Conservative management
B. Laser coagulation
C. Chemical peeling
D. Photodynamic therapy
E. Surgical excision

1230) Which of the following tissue adhesives is composed of purified bovine serum albumin and glutaraldehyde?

A. BioGlue
B. Tisseel
C  Bytyl-cyanocrylate
D. 2-Octyl cyanoacrylate
E. Platelet-rich plasma compounds

ANSWERS & REFERENCES

1221) D     Less incidence of velopalatal insufficiency

Bower C. M., Seibert R. W.,  Muntz H. R.: Cleft Lip and Palate, chapter 33 Complications in Pediatric Otolaryngology (Josephson G.D. & Wohl D. L., editors, Taylor & Francis, 2005,  pp. 539-552

Capone R. B., Sykes J. M.: Evaluation and Management of Cleft Lip and Palate Disorders, chapter 76 in Facial Plastic and Reconstructive Surgery, (Papel I.D, editor), Third Edition, Thieme, 2009, pp.1059-1078

1222) A     Topical anesthetic is adequate for a facial CO2 laser resurfacing.

Carniol P. J., Harmon C. B., Hamilton M. M.: Ablative Laser Facial Skin Rejuvenation, Chapter 26 in Facial Plastic and Reconstructive Surgery, (Papel I.D, editor), Third Edition, Thieme, 2009, pp.321-330

1223) E     An arc 6 times the diameter of the defect

Park S. S.: Local and Regional Cutaneous Flaps, Chapter 54 in Facial Plastic and Reconstructive Surgery, (Papel I.D, editor), Third Edition, Thieme, 2009, pp.721-743

1224) A     Er:YAG laser

Carniol P. J., Harmon C. B., Hamilton M. M.: Ablative Laser Facial Skin Rejuvenation, Chapter 26 in Facial Plastic and Reconstructive Surgery, (Papel I.D, editor), Third Edition, Thieme, 2009, pp.321-330

1225) D     It is approved  for treatment of facial lipo-atrophy associated with HIV disease.

Maas C. S., Yu K. C. Y., Egan K. K.: Neuromodulators and Injectable Soft Tissue Substitutes, Chapter 28 in Facial Plastic and Reconstructive Surgery, (Papel I.D, editor), Third Edition, Thieme, 2009, pp. 337-353

1226) B    This flap can be used only unilaterally - not bilaterally - or in combination with other flaps.

Rowe N. M., Zide B.Z: Lip and Oral Commissure Reconstruction, Current Therapy in Plastic Surgery (McCarthy, Galiano, Boutros, editors), 2006, pp. 129-134

Ellis D. A. F., Gullane P.J.: Cosmetic and Reconstructive Lip Surgery, chapter 23 in Instructional Courses, American Academy of Otolaryngology-Head and Neck Surgery, (Johnson, Blitzer, Ossoff, Regan Thomas, editors), Vol. 1, 1988, pp. 261-274

1227) B     The rectangular shape device will achieve the least gain in surface area.

Swenson R. W.: Tissue Expansion, chapter 20  in Highlights of the Instructional Courses. Vol. 7, 1994, (Lucentet F.E., editor), Mosby, 1995, 223-235

1228) E     BioGlue is a tissue adhesive primarily use for vascular anastomosis.

Egan K.K., Kim D. W., Toriumi D. M.: Tissue Adhesives, chapter 9 in Facial Plastic and Reconstructive Surgery (Papel I.D., editor), Thieme, 2009, pp. 91-97

1229) E     Surgical excision

http://emedicine.medscape.com/article/1295033-overview

1230) A     BioGlue

Egan K.K., Kim D. W., Toriumi D. M.: Tissue Adhesives, chapter 9 in Facial Plastic and Reconstructive Surgery (Papel I.D., editor), Thieme, 2009, pp.91-97

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Updated: August 5, 2017