Thursday, May 3, 2018

1321-1330 MCQ in Facial Plastic and Reconstructive Surgery

1321-1330
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Updated: May 3, 2018

1321) The "Flap Delay" technique to enhance flap length and viability will require the incision of the flap borders leaving the flap in situ for

A.  1 day
B.  3 days
C.  5 days
D.  7 days
E. 14 days

1322) Which of the following rhinoplasty changes will increase tip projection?

A. Lateral crura steal
B. Lateral crura overlay
C. Full transfixion incision
D. Shorten caudal septum
E. Cephalic trim

1223) Which of the following statements is FALSE regarding the bilateral cleft lip and palate congenital disorder?

A. It is the most severe clinical form of cleft lip and palate deformity.
B. The premaxilla is protruding, rotated out and detached from each maxilla.
C. The prolabium contains the orbicularis oris muscle.
D. There is an increased width of the alar base.
E. There is a short columela.

1324)  What is the proper time in skin graft physiology for neovascularization?

A. 1 day
B. 2 days
C. 5 days
D. 10 days
E. 14 days

1325) The nasal features of supratip fullness resulting in a convexity of the lower 2/3 of the nasal dorsum IS RELATED to

A. Inverted-V Deformity
B. Pollybeak Deformity
C. Saddle Nose Deformity
D. Pinched Tip Deformity
E. Tip Ptosis Deformity

1326) The lower lip reconstructive technique seen in the drawing below is:



A. Abbe type operation
B. Estlander type operation
C. Bernard type operation
D. Gillies type operation
E. Karapandzic type operation

1327) Which of the following statements regarding lower lip reconstruction technique seen in the drawing above (previous question)  is FALSE?

A. This procedure allow primary closure after excision of most of the lower lip
B. Extensive lesions of the lower lip involving the skin of the lower lip can be excised by this method.
C. The flaps of the oral mucosa are turned outward to form a new vermilion border
D. The base of each triangle  is in line with the lower lip and half as long as the expected defect.
E. The procedure requires two stages to be completed.

1328) A broad wide nose, flat nasal bridge, wide and short nasal bones is considered a

A. Lepthorrhine nose subtype
B. Platyrrhine nose subtype
C. Subplatyrrhine nose subtype
D. Paraleptorrhine nose subtype
E. Mesorrhine nose subtype

1329) Which of the following flaps is NOT ADEQUATE for total glosectomy reconstruction?

A. Pediculated Pectoralis Major Flap
B. Superficial Temporal Fascia Free Flap
C. Rectus Adbominis Myocutaneous Free Flap
D. Radial Forearm Fasciocutaneous Free Flap
E. Latissimus Dorsi Myocutaneous Free Flap

1330) Which of following anatomical structures IS PART  of the contents of the Inferior Orbital fissure?

A. Frontal and Nasociliary division of the V1.
B. Inferior Ophtalmic vein
C. Ophtalmic artery
D. Supraorbital vein
E. CN VI (abducens nerve)


ANSWERS & REFERENCES



1321) E     14 days

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

1322) A     Lateral crura steal

Becker D. G., Becker M., Cabin J. A.: Complications in Rhinoplasty, chapter 44 in Facial Plastic and Reconstructive Surgery, (Papel I.D., editor), Fouth edition, Thieme, 2016, pp.541-551

1323) E     The prolabium contains the orbicularis oris muscle.

Capone R. B., Ames J. A., Sykes J. M.: Evaluation and Management of Cleft Lip and Palate Disorders, chapter 68 in Facial Plastic and Reconstructive Surgery, (Papel I.D., editor), Fouth edition, Thieme, 2016, pp.875-895

1324) D     5 days 

Leung J. J. , Fish J.: Skin Grafts, Review,  Univ. of Toronto Medical Journal, Volume 86, Number 2, March 2009,  pp. 61-64

Desai S.C.: Facial Plastic and Reconstructive Surgery, Clinical Reference Guide, chapter 38, Skin, Dermal, Cartilage, Composite, and Bone Grafts, pp. 381

Desai S.C.: Facial Plastic and Reconstructive Surgery, Clinical Reference Guide, chapter 39, Primary and Local Flaps, pp. 388

1325) B     Pollybeak Deformity

Papel I. D., Kochhar A.: Secondary Rhinoplasty, chapter 39 in Facial Plastic and Reconstructive Surgery, (Papel I.D., editor), Fouth edition, Thieme, 2016, pp.479-492

1326) C     Bernard type operation

Williams E. F., Chalet S. R.: Lip Reconstruction, chapter 55 in Facial Plastic and Reconstructive Surgery, (Papel I.D., editor), Fouth edition, Thieme, 2016, pp.718-729

1327) E     The procedure requires two stages to be completed.

Williams E. F., Chalet S. R.: Lip Reconstruction, chapter 55 in Facial Plastic and Reconstructive Surgery, (Papel I.D., editor), Fouth edition, Thieme, 2016, pp.718-729

1328) B      Plathyrrhine nose subtype

Desai S.C.: Facial Plastic and Reconstructive Surgery Clinical Reference Guide, Plural Publishing, 2017, pp 275

1329) B     Superficial Temporal Fascia Free Flap

Revenaugh P. C., Shipchandler T. Z., Burkey B. B.: Microvascular and Regional Flaps in Head and Neck Reconstruction chapter 51 in in Facial Plastic and Reconstructive Surgery, (Papel I.D., editor), Fouth edition, Thieme, 2016, pp. 650-677

1330) C     Inferior ophthalmic vein

Desai S.C.: Facial Plastic and Reconstructive Surgery Clinical Reference Guide, Plural Publishing, 2017, pp 348

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Updated: May 3, 2018

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