Tuesday, November 5, 2013

1251-1260 MCQ in Facial Plastic and Reconstructive Surgery

1251-1260

1251) Which of the following percentage of the hair cycle is in the ANAGEN phase?

A. 10%
B. 30%
C. 50%
D. 70%
E. 90%

1252) Which of the following statements regarding hair patho-physiology is FALSE?

A. The hair cycle has three phases:  anagen, catagen and  telogen
B. Approximately 5% of the hair follicles are in the catagen phase
C. Scalp hair grows approximately 1 mm every 3 days. 
C. Most of the hair loss conditions are due to the hereditary male pattern baldness
D. The follicular unit transplantation is the gold standard in surgical hair transplantation

1253) Which of the following is NOT a typical characteristic of the Asian Nose, considering a rhinoplasty?

A. Planning: augmentation rhinoplasty
B. Tip: bulbous, poor defined, underprojected
C. Ala: flared with a short columella
D. Skin: Thin
E. Nasal septum: small anterior nasal spine

1254) Which of the following statements regarding Hair Restoration is FALSE?

A. Hair loss although progressive is always predictable at any age.
B. Hair color that matches the skin color has an advantage.
C. Do not make the hairline too low (higher better than lower).
D. The frontal temporal angle lies on the lateral epicanthal line as hair loss progresses.
E. The frontal hairline consists of micro-irregularity and macro-irregularity.

1255) Which of the following scalp zones is ideal for scalp reduction?

A. Crown
B. Mid-scalp
C. Anterior-scalp
D. Occipital scalp
E. Temporal scalp

1256) What is the proper classification of the cleft palate presented? (See drawing below)


A. Bilateral complete cleft of the secondary palate.
B. Bilateral complete cleft of the primary and secondary palate
C. Bilateral incomplete cleft of the primary palate
D. Bilateral incomplete cleft of the secondary palate
E. Bilateral complete cleft of the primary and incomplete secondary palate

1257) Which of the following statements is considered the most common drawback in the use of a single-stage melolabial flap for nasal alar reconstruction?

A. Trap-door deformity
B. Alar retraction
C. Necrosis
C. Dehiscence
D. Stenosis

1258) Which of the following cutaneous lasers is the BEST in the removal of GREEN tattoo pigments?

A. Q-switched Ruby (694 nm) Laser.
B. Alexandrite (755 nm) Laser
C. Nd:YAG (1064 nm) Laser.
D. Pulse dye (585-595 nm) Laser
E. Ruby laser

1259) Which of the following alopecia areas is ideal for the use of scalp flaps?

A. Crown
B. Frontal
C. Mid-Scalp
C. Occipital scalp
D. Temporal scalp

1260) What is the percentage of hair loss necessary before alopecia becomes noticeable?

A. 20%
B  30%
C. 50%
D. 60%
E. 70%



ANSWERS & REFERENCES

1251) E     90%

Ende K. H., Kabaker S.S.: Hair Restoration: Medical and Surgical Techniques, chapter 26 in Cummings Otolaryngology-Head and Neck Surgery, Fifth Edition, Volume one, 2010, pp. 371-389


1252) B     Approximately 5% of the hair follicles are in the catagen phase

Ende K. H., Kabaker S.S.: Hair Restoration: Medical and Surgical Techniques, chapter 26 in Cummings Otolaryngology-Head and Neck Surgery, Fifth Edition, Volume one, 2010, pp. 371-389


1253) C     Skin: Thin

Park S. S., Jin H.: Noncaucasian Rhinoplasty, chapter 38 in Cummings Otolaryngology-Head and Neck Surgery, Fifth Edition, Volume one, 2010, pp. 568-579


1254) A     Hair loss although progressive is always predictable at any age.

Shapiro R., Shapiro P.: Hairline Design and Frontal Hairline Restoration, Facial Plastic Surgery Clinics of North America, Hair Restoration (Konior and Gabel, editors), August 2013, Vol. 21, No. 3, pp. 351-362

1255) A     Crown

Devroye J.: Management of the Crown, , Facial Plastic Surgery Clinics of North America, Hair Restoration (Konior and Gabel, editors), August 2013, Vol. 21, No. 3, pp. 397-406

Rousso D. E., Sule S., Whitworth J. M.: Hair Replacement Techniques, Chapter 33 in Facial Plastic and Reconstructive Surgery, (Papel I., editor), Third Edition, Thieme, 2009, pp. 409-420

1256) B    Bilateral complete cleft of the primary and secondary palate

Smith H.W.: Comprehensive Surgical Atlases in Otolaryngology-Head and Neck Surgery, the Atlas of Cleft lip and Cleft palate surgery (K.J. Lee, editor-in-chief), 1983, pp. 131-142

1257) A     Trap-door deformity

Eskiizmir G. , Baker S., Cingi C.: Nonmelanoma Skin Cancer of the Head and Neck, (Thomas J. R, editor), Facial Plastic Surgery Clinics of North America, Nov. 2012, Vol. 20, No. 4,  pp. 493-513

1258) A     Q-switched Ruby (694 nm) Laser

Fedok F. G., Carritano F., Portela A.: Cutaneous Lasers (Thomas J. R, editor), Facial Plastic Surgery Clinics of North America, Feb. 2013, Vol. 21, No. 1,  pp. 95-110

1259) B     Frontal

Rousso D. E., Sule S., Whitworth J. M.: Hair Replacement Techniques, Chapter 33 in Facial Plastic and Reconstructive Surgery, (Papel I., editor), Third Edition, Thieme, 2009, pp. 409-420

1260) C     50%

Ende K. H., Kabaker S.S.: Hair Restoration: Medical and Surgical Techniques, chapter 26 in Cummings Otolaryngology-Head and Neck Surgery, Fifth Edition, Volume one, 2010, pp. -371-389


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Updated: August 5, 2017

2 comments:

Anonymous said...

Hi, answer of the Q 1241 is incorrect. It has to be E (90%).

A.Riera/Otolaryngology-HNS said...

Dear reader;

You are correct!. The answer to the Question 1251 has been changed. Thank you for your email and comment. Cordially.