Tuesday, May 29, 2018

1341-1350 MCQ in Facial Plastic and Reconstructive Surgery

1341-1350
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Updated: May 29, 2018

1341)  Which of the following congenital auricular deformities is defined by: "deep and concave concha, with a deficient development of the superior half of the helix and a decreased of auricule height. The ear looks small, but no difference in size "

A. Lop ear
B. Cup ear
C. Microtia
D. Melotia
E. Satyr ear

1342) What are the minimal dimensions of the bony segment (depth/horizontal plane and height /vertical plane) in a free flap to accept an osteo-integrated dental implants?

A. Minimum depth of 5 mm and height of 5 mm
B. Mininum depth of 10 mm and height of 10 mm
C. Minimum depth of 5 mm and height of 10 mm
D. Minimum depth of 10 mm and height of 5 mm
E. Minimum depth of 10 mm and height of 15 mm

1243) Which of the following muscle is most commonly injured in blepharoplasty?

A. Inferior rectus
B. Inferior oblique
C. Superior oblique
D. Superior rectus
E. Medial rectus

1344)  Which of the following reconstructive flaps is the ideal choice/workhorse flap for anterior skull base resection?

A. Galeal-pericranial flap
B. Temporalis muscle flap
C. Septonasal mucosal flap
D. Latissimus dorsi flap
E. Free Radial foream flap

1345) Which of the following statements related to Tongue-in-Grove Technique in Rhinoplasty is FALSE?

A. It is a suture surgical technique.
B. It is capable to modify the nasal rotation
C. It is capable to modify the nasal projection
D. It is a cephalic relocation of the lateral crura
E. It can be used in combination with a septal extension graft

1346)  Which of the following auricle anatomy is the Concha Cymba?

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

1347)  Which of the following is NOT part of the Goldman technique rhinoplasty?

A. Vertical dome division of lower lateral cartilages
B. Division laterally to the tip defining point
C. Suture of medial crural segments from both side together
D. Adequate in widening the nasal tip
E. Adequate for under projected nasal tip

1348) Which of the following is FALSE regarding Actinic Keratosis (AK)?

A. AK are lesions scaly, circumscribed, and rough erythematous
B. AK are the most common precursor to develop squamous cell carcinoma.
C. AK has a malignant potential transformation 1 in 1000 per year.
D. AK has are cutaneous lesions easily bleeding at touch
E. AK premalignant lesions in greater than 50% have been identified mutations of p53.

1349)  Which of the following risk factors in Squamous Cell Carcinoma is FALSE?

A. Older age than 50
B. Fitzpatrick III
C. Infection by HPV
D. Cumulative sun exposure
E. History of a transplant or immunosuppression.

1350)  A patient has been diagnosed with an infantile hemangioma. Propanolol is selected for treatment. Which is the following is the correct via for its administration?

A. Intravenous (IV)
B. Intramuscular (IM)
C. Subcutaneous (SC)
D. Sublingual.
E. Oral (p.o)


ANSWERS & REFERENCES



1341) B       Cup Ear

https://emedicine.medscape.com/article/1288708-overview#a12

1342) C     Minimum depth of 5 mm and height of 10 mm

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

1343) B     Inferior oblique

Karimnejad K., Walen S.: Complications in Eyelid Surgery, in Functional and Cosmetic Eyelid Surgery, Facial Plastic Surgery Clinics of North America, May 2006,  pp.193-203

1344) A     Galeal-pericranial flap

https://emedicine.medscape.com/article/883609-overview

1345) D     It is a cephalic relocation of the lateral crura


Kridel R.W., Scott BA., Foda HM.:The tongue-in-grove technique in septorhinoplasty, A 10-year experience, Arch Facial Plast Surg 1999, ;1:246-256

Louis Peter J.F.M., Datema F.R.: Patient Satisfaction in Caucasian and Mediterranean Open Rhinoplasty Using the Tongue-in-Grove Technique: Prospective Statistical Analysis of Change in Subjective Body Image in Relation to Nasal Appearance Following Aesthetic Rhinoplasty, Laryngoscope 125: April 2015, pp.831-836

1346) B     B

https://emedicine.medscape.com/article/839886-overview#a5

137) D       Adequate in widening the nasal tip

Simons R. L. , Rhee J.S.: Surgery of the Nasal Tip: Vertical Dome Division chapter 38 in Facial Plastic and Reconstructive Surgery (Papel I. D, editor), 4th edition, Thieme, 2016, pp.470-478

1348) D      AK has are cutaneous lesions easily bleeding at touch

Herscovitch M., Collar R.M., Hom D.B.: Diagnosis and Treatment of Cutaneous Malignancies chapter 47 in Facial Plastic and Reconstructive Surgery (Papel I. D, editor), 4th edition, Thieme, 2016, pp.579-599

1349) D     Fitzpatrick III


Desai S.C.: Facial Plastic and Reconstructive Surgery, Clinical Reference Guide, chapter 48, Veloopharyngeal Insufficiency, Plural Publishing, pp.438


1350) E         Oral (p.o)

Desai S.C.: Facial Plastic and Reconstructive Surgery, Clinical Reference Guide, chapter 48, Veloopharyngeal Insufficiency, Plural Publishing, pp.554

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Updated: May 29, 2018

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