1331-1340 MCQ in Facial Plastic and Reconstructive Surgery

1331-1340
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Updated: May 13, 2018

1331) Which of the following is FALSE regarding the radial forearm free flap (RFFF)?

A. The flap can be harvested as a fascial, fascio-cutaneous and osteo-cutaneous flap.
B. The skin paddle usually reached a size of 9 cm x 6 cm.
C. The maximal bone harvested for this flap is approximately 11 cm from the distal radius.
D. The flap has the advantage and well toleration for dental implantation.
E. The flap is a workhorse for reconstruction of oral cavity, hypoharynx, head/neck skin, and scalp.

1332)Which of the following techniques in lower lip reconstruction requires two-stages?

A. Abbe Flap
B. Estlander Flap
C. Karapandzic Flap
D. Gillies Flap
E. Bernard Flap

1233) Which of the following Velopharyngeal Closure Patterns - Velopharyngeal Insufficiency-  is the MOST common?

A. Coronal
B. Sagital
C. Circular
D. Circular with Passavant's ridge
E. Mixed (combination of 2 of the above)

1334)  Which of the following IS THE LEADING cause of death in penetrating cervical injuries in a combat-related explosive blasts?

A. Hemorrhage
B. Neurological
C. Airway compromise
D. Aerodigestive
E. Infectious

1335) The nose middle vault collapses in a postero-inferior displacement due to loss of support and the edges of the nasal bones are visible. What is the name the this rhinoplasty complication described in the question?

A. Open Roof Deformity
B. Pollybeak Deformity
C. Saddle Nose Deformity

D. Rocker Deformity

E. Short Nose Deformity

1336) In which plane of dissection is located the Facial Nerve in the Temporal area/Zygomatic arch (see drawing below):

A. A
B. B
C. C
D. D
E. E

1337) Which of the following statements related to the TONGUE-IN-GROVE Fixation Suture used in rhinoplasty is FALSE?

A. The "tongue" terminology represents the caudal border of the nasal septum
B. The "grove" terminology represents the space created between the medial crura and membranous septum
C. This Fixation suture will increase columellar show.
D. This Fixation suture can increase or decrease projection
E. This Fixation suture can increase of decrease rotation

1338) Which of the following diagnostic evaluations is the "gold standard"  to detect vascular injury of the penetrating neck trauma?

A. Neck Sonogram
B. CT with contrast of the neck (CT)
C. MRI with contrast of the neck(MRI)
D. Computed tomography angiography (CTA)
E. Neck angiography

1339)  The sensitivity and specificity of computed tomography angiography (CTA) in penetrating neck trauma in patients hemodinamically stable is approximately?

A. 50%
B. 75%
C. 85%
D. 95%
E. 100%

1340)  Which of the following muscle OPENS the eustachian tube orifice during swallowing?

A. Levator veli palatini
B. Tensor veli palatini
C. Palatoglossus
D. Palatopharyngeus
E. Muscularis uvulae


ANSWERS & REFERENCES



1331) D     The flap has the advantage and well toleration for dental implantation.

Gonzalez-Castro J., Petrisor D., Ballard D., Wax M.K.: The Double-Barreled Radial Forearm Osteocutaneous Free Flap, The Laryngoscope 126: Feb. 2016, pp. 340-344

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

1332) A     Abbe Flap

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

1333) A     Coronal

Desai S.C.: Facial Plastic and Reconstructive Surgery, Clinical Reference Guide, chapter 48, Velopharyngeal Insufficiency, pp. 495.

1334) A     Hemorrhage

Meghoo CA, Dennis JW., Tuman C.: Diagnosis and management of evacuated casualties with cervical vascular injuries resulting from combat-related explosive blasts, Journal of Vascular Surgery, Volume 55, Issue 5, May 2012, Pages 1329-1337

1335) 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

1336) A     B

Quatela V. C., Antunes M.B.: Endoscopic Forehead and Midface Lift , chapter 15 in Facial Plastic and Reconstructive Surgery, (Papel I.D., editor), Fouth edition, Thieme, 2016, pp.159-174

Kleinberger A.J.,  Jumaily J., Spiegel J.H.: Safety of Modified Coronal Approach with Dissection Deep to Temporalis Fascia for Facial Nerve Preservation, Otolaryngology-Head and Neck Surgery 2015, Vol. 152 (4),  pp.655-660

1337) C      This Fixation suture will increase columellar show. 

Desai S.C.: Facial Plastic and Reconstructive Surgery, Clinical Reference Guide, chapter 25, Tip Rhinoplasty, pp. 252.

1338) D      Computed tomography angiography of the neck (CTA).

Majors J. S., Brennan J., Holt G. R., Bioethics D.: Management of High-Velocity Injuries of the Head and Neck, Facial Plastic Surgery Clinic of North America,  25 (2017)pp. 493-502

1339) D     95%

Majors J. S., Brennan J., Holt G. R., Bioethics D.: Management of High-Velocity Injuries of the Head and Neck, Facial Plastic Surgery Clinic of North America,  25 (2017)pp. 493-502

1340) B     Tensor veli palatini

Desai S.C.: Facial Plastic and Reconstructive Surgery, Clinical Reference Guide, chapter 48, Veloopharyngeal Insufficiency, Plural Publishing, pp.494

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Updated: May 13, 2018