Friday, November 30, 2012

1231-1240 MCQ in Facial Plastic and Reconstructive Surgery

1231-1240

1231) Which of the following statements regarding CYANOACRYLATE tissue adhesives is FALSE?

A. Cyanoacrylate tissue adhesives are solely recommended for superficial skin closure.
B. Cyanoacrylate tissue adhesives are contraindicated in children.
C. Cyanoacrylate tissue adhesive most commonly used is the Octyl-2-Cyanoacrylate.
D. Cyanoacrylate tissue adhesives can be used in wound/incision closure for blepharoplasty and facelift.
E. Cyanoacrylate tissue adhesives breakdown products can produce a histotoxic reaction.

1232) Which of the following tissue adhesives is commonly used primarily for VASCULAR ANASTOMOSIS?

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

1233) Which of the following tissue adhesives is the ONE used for superficial tissue closure?

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

1234) Which of the following is the MOST common complication of suction-assisted lipectomy in the Head and Neck?

A. Hematoma
B. Infection
C. Skin irregularities
D. Seroma
E. Nerve paresia

1235) Which of the following statements regarding Suction-assisted Lipectomy in the head and neck is FALSE?

A. The patient should be marked in the sitting position.
B. Local anesthesia with IV sedation is ideal in this surgical procedure
C. Lipectomy in the lower aspect of the neck is done utilizing an incision behind the ear lobule.
D. Lipectomy dissection should be done deep to the platysma muscle.
E. The surgeon should never turn the opening of the cannula toward the skin.

1236) Which of the following statement regarding the mandibular plating system presented below is FALSE? (See drawing below)


A. This plate is  a Eccentric Dynamic Compression plate system (EDCP).
B. This plate will require bicortical fixation.
C. This plate will require that four screws be used on each side of the injury.
D. This plate is indicated in mandibular fractures related to shotgun wounds.
E. This plate is used also in atrophic mandibles.

1237) Which of the following statements regarding Suction-assisted Liposuction  in the face and neck is FALSE?

A. Good elasticity in the skin  is ideal for the efficacy of liposuction
B. Lack of wrinkled skin will improve the outcome of liposuction
C. Platysmal banding can be significant improved by neck liposuction
D. Dimpling, depressions or scarring will not improved by liposuction.
E. A high, posteriorly placed hyoid bone will produce a more favorable cosmetic result.

1238) What is the approximately recommended  NEGATIVE pressure necessary for the proper execution of neck and face liposuction?

A. 1 atm of negative pressure
B. 2 atm of negative pressure
C. 3 atm of negative pressure
D. 4 atm of negative pressure
E. 5 atm of negative pressure.

1239)Which of the following statements regarding Eccentric Dynamic Compression Plates (EDCP) is FALSE?

A. Eccentric Dynamic Compression Plates  (EDCP) contain two sets of dynamic drill holes.
B. Eccentric Dynamic Compression Plates  (EDCP)  have outside screws holes with incline ramps set obliquely at 45-90 degrees to the long axis of the plate.
C. The outer set of screw holes glides superiorly to produce compression at the level of the alveolus.
D. The inner set of screw holes glides toward the fracture, providing compression at the inferior mandibular border.
E. Eccentric Dynamic Compression Plates  (EDCP) need additional hardware to insure compression at the alveolus.

1240) What is the following statements IS related to a "Vertical Post Deformity"?

A. An overly corrected superior antihelix
B. An overly corrected inferior antihelix
C  An overly corrected concha cavum
D. An overly corrected concha cymba
E. An overly corrected lobule



ANSWERS & REFERENCES

1231) B     Cyanoacrylate tissue adhesives are contraindicated in children.

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

1232) B     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

1233) D     2-Octyl cyanoacrylate

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

1234) C     Skin irregularities

Colton J. J.: Suction-Assisteed Lipectomy in the Head and Neck, chapter 17 in Instructional Courses, (Johnson, Blitzer, Ossoff, Regan Thomas, editors), Vol, 2, 1989, pp.207-222

1235) D     Lipectomy dissection should be done deep to the platysma muscle.

Colton J. J.: Suction-Assisteed Lipectomy in the Head and Neck, chapter 17 in Instructional Courses, (Johnson, Blitzer, Ossoff, Regan Thomas, editors), Vol, 2, 1989, pp.207-222

1236) A      This plate is  a Eccentric Dynamic Compression plate system (EDCP).

Costantino P. D., Tadros M., Wolpoe M.: Principles of Facial Plasting Systems,  chapter 67 in Facial Plastic and Reconstructive Surgery (Papel I.D., editor), Thieme, 2009, pp.929-944

1237) C     Platysmal banding can be significant improved by neck liposuction

Kridel R. W. H., Kelly P. E., Castellano R. D; Liposuction of the Face and Neck, chapter 24 Facial Plastic and Reconstructive Surgery (Papel I.D., editor), Thieme, 2009, pp.286-300

1238) A     1 atm of negative pressure

Kridel R. W. H., Kelly P. E., Castellano R. D; Liposuction of the Face and Neck, chapter 24 Facial Plastic and Reconstructive Surgery (Papel I.D., editor), Thieme, 2009, pp.286-300

 http://emedicine.medscape.com/article/842367-treatment#a1133

Newman J., Nambiar M.: Cervicofacial Liposuction, Operative Challenges in Otolaryngology-Head and Neck Surgery, (Pillsburry III H. C., Goldsmith III M.M., editors), Year Book Medical Publishers, Inc. 1990, 604- 629

1239) E     Eccentric Dynamic Compression Plates  (EDCP) need additional hardware to insure compression at the alveolus.

Clark W. D.: Stabilization and Fixation of the Mandible, chapter 4 in Surgery of the Mandibule (Bailey B. J., Holt G. R., editors), Thieme,pp. 25-37

1240) A     An overly corrected superior antihelix

Otoplasty in  Renewal of Certification Study Guide in Otolaryngology-Head and Neck Surgery (Gluckman J. L., editor), American Academy of Otolaryngology-Head and Neck Surgery Foundation, 1998, pp. 679-683

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Updated: August 5, 2017

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