1311-1320 MCQ in Facial Plastic and Reconstructive Surgery

1311-1320

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Updated: April 17, 2018

1311) What is the most common site of facial fractures sustained by patients presenting in the emergency department with baseball related trauma?

A. Nose
B. Mandible
C. Maxilla
D. Orbit
E. Teeth

1312) Which of the following findings identifying patients with high risk for ocular injury in patients with orbital fractures is FALSE?

A. Anterior third of orbit involvement
B. Visual acuity deficit
C. Afferent pupillary defect
D. Extraocular motor restriction
E. Chemosis +/- subconjunctival hemorrhage

1213) Which of the following anatomical structures is NOT related to the Superior Orbital Fissure Contents?

A. Lacrimal, frontal, and nasociliar division of V1
B. CN III (oculomotor)
C. CN VI (abducens)
D. CN IV (trochlear)
E. Ophtalmic artery

1314)  Which of the following conditions is the MOST common etiology for External Nasal Valve Collapse?

A. Facial Paralysis
B. Nasal Aging
C. Pyriform aperture stenosis
D. Overresection of the lateral crura of the lower lateral cartilage
E. Congenital malposition of the lower lower lateral cartilage

1315) Which of the following statements is FALSE regarding rhinoplasty?

A. Race is considered an objective term
B. Ethnicity is considered a self -assigned and a subjective term.
C. Members of the same race share always  the same concepts of beauty.
D. Culture has a direct role in the manner that a person understands beauty
E. Racial transformation is not considerated a valid goal in this patients

1316) The drawing seen below is:

A. A Limberg flap
B. A Webster flap
C. A Dufourmental flap
D. A Limberg flap with a Z-plasty at the flap base
E. A Limberg flap with a M-Plasty at the flap base

1317) Which of the following statements regarding scarring and wound healing is TRUE?

A. Scar are originated by the injury of the deep reticular layer
B. Wound healing is based in 5 phases
C. New collagen formation is type II collagen
D. Wound strength will reach 100 % of its original skin strength in 8 weeks.
E. The remodeling phase will be completed in 5 months.

1318) Which of the following statements in absorbable sutures has the MOST tissue reaction?

A. Chromic gut
B. Polygactin 910 (Vicryl)
C. Polyglycolic acid (Dexon)
D. PDSII
E. Polyglyconate (Maxon)

1319) Which of the following absorbable sutures has the GREATEST tensile strength?

A. Chromic gut
B. PDSII
C. Polygactin 910 (Vicryl)
D. Polyglycolic acid (Dexon)
E. Polyglyconate (Maxon)

1320) Which of following statements is FALSE regarding the Rhombic Flap?

A. It is a local transposition flap
B. It is useful for defects in the cheek and temple area
C. The rombic flap modification are useful in decreasing the area of secondary intention healing.
D. The Limberg modification has a rhombic design in 120/60 degrees angles with all edges equal length.
E. The Webster modification has a rhombic flap with the apical angle is 30 degrees with a W-plasty at the flap base of rotation

ANSWERS & REFERENCES


1311) A     Nose

Carniol E. T., Shaigany K., Svider P.F., Folbe A. J., Zuliani G. F., Baredes S., Eloy J. A.: 5-Year Analysis of Baseball Related Injuries of the Face, Otolaryngology-Head Neck Surgery 205, Volo. 153 (6), 957-961

1312) A    Anterior third of orbit involvement

Andrews B. T., Jackson A.S., Nazir N., Hromas A., Sokol J. A., Thurston T. E.: Orbit Fractures: Identifying Patient Factors Indicating High Risk for Ocular and Periocular Injury, Laryngoscopy 126, Feb. 2016, pp. S5-S11

1313) E    Ophtalmic artery

Desai S.C.: Orbit, Nasi-Orbitoethmoid and Nasal Fractures, Chapter 35 in Facial Plastic and Reconstructive Surgey, Plural Publising, Inc., 2017, pp.347-352

1314) D    Overresection of the lateral crura of the lower lateral cartilage 

Deroee A. F, Younes A.A., Friedman O.: External Nasal Valve Collapse Repair: The Limited Alar-Facial Stab Approach, Laryngoscope, 121: March 2011, 474-479

1315) C  Members of the same race share always  the same concepts of beauty.

Sofola I.O., Boahene K.D.O.:  Rhinoplasty in the Patient of African Descent, chapter 42 in Facial Plastic and Reconstructive Surgery, (Papel I.D., editor), Fouth edition, Thieme, 2016, pp. 518-530

1316) C    A Dufourmental flap

Park S. S.: Local and Regional Cutaneous Flaps,  chapter 49 in Facial Plastic and Reconstructive Surgery, (Papel I.D., editor), Fouth edition, Thieme, 2016, pp. 620-637

Topp S. G., Lovald S., Khraishi T., Gaball C. W.: Biomechanics of the Rhombic Transposition Flap,  Otolaryngology-Head and Neck Surgery, 2014,  Vol.  151 (6),  pp. 952-959

1317) A    Scar are originated by the injury of the deep reticular layer  

Frodel J.L., Brenner M.J.: Wound Healing chapter 3 in Facial Plastic and Reconstructive Surgery, (Papel I.D., editor), Fouth edition, Thieme, 2016, pp. 6-17

Welshhans J. L., Hom D. B.: Soft tissue Principles to Minimize Scarring An overview,  Facial Plastic Clinic North America,  Facial Scar Management,  Feb 2017, Vol. 25 No. 1, pp 1-13

1318) A    Chromic gut 

https://emedicine.medscape.com/article/1127693-overview#a3

1319) B     PDSII

Desai S.C.: Facial Plastic and Reconstructive Surgery Clinical Reference Guide, Plural Publishing,  2017, pp 10-11

1320) C    The rombic flap modification are useful in decreasing the area of secondary intention healing. 

Park S. S.: Local and Regional Cutaneous Flaps,  chapter 49 in Facial Plastic and Reconstructive Surgery, (Papel I.D., editor), Fouth edition, Thieme, 2016, pp. 620-637

Topp S. G., Lovald S., Khraishi T., Gaball C. W.: Biomechanics of the Rhombic Transposition Flap,  Otolaryngology-Head and Neck Surgery, 2014,  Vol.  151 (6),  pp. 952-959

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Updated: April 17, 2018