1361-1370 MCQ in Facial Plastic and Reconstructive Surgery

1361-1370
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Updated: October 11, 2018

1361) Which of the following statements is FALSE regarding the Supraclavicular Artery Island (SAI) Flap:

A. It is a fasciocutaneous flap
B. It has an axial blood supply
C. It will require microvascular anastomosis
D. It has a rate of partial flap necrosis of approximately 10%
E. It is indicated for reconstruction of the cervicofacial defects

1362) Which of the following factors is the MOST important in preventing or reducing Rhytidectomy Malpractice Cases?

A. Effective Communication
B. Proper documentation
C. Proper follow-up
D. Proper Informed consent
E. Stay up-to-date on current standards

1363) Which of the following surgical anatomy characteristics of the Asian Nose is FALSE?

A. Bulbous tip
B. Short columella
C. Flared nostril space
D. Nasofrontal angle 135°
E. Low dorsum

1364) What is the following management of focal Infantile Hemangomas of the lip, nose ,eyelid , cheek, scalp or glabella is the preferred option in patient from 3 months to 5 years old?

A. Observation for regression
B. Corticosteroids
C. B-blocker medications
D. Early surgical management
E. Pulse dye laser therapy

1365)  Which of the following injectable fillers IS NOT a derivated hyaluronic acid?

A. Radiesse
B. Belotero
C. Restylane
D. Juvederm
E. Perlane

1366)  The drawing below described the following:  a  line is drawn tangential to the chin and to the most anterior point of the upper lip. Another line is the classical Frankfort line. Both lines defines the angle "Z".  If the  change of the "Z"  angle value is MORE ACUTE will represents

1. Increase nasal rotation
2. Decrease nasal projection
3. Increase columellar show
4. Decrease lower  lip projection
5. Increase upper lip projection

1367) Which of the following method is the ONE represented by the "Z" angle and the two lines shown in the drawing above?

A. Merrifield's Method
B. Goode's Method
C. Gonzalez-Ulloa's Method
D. Legan's Method
E. Simon's Method

1368) Which of the following time/duration of the effect of Artecoll (Artefill) injectable filler is TRUE?

A. 6 months
B. 12 months
C. 1 year
D. 3 years
E. 5 years

1369)  Which of the following complications related to Autologous Fat transfer is the one MOST difficult to correct?

A. Asymmetry
B. Overcorrection
C. Undercorrection
D. Lumps
E. Bulges

1370) Which of the following topical dermatological agents is NOT effective in  the treatment of diffuse actinic skin damage?

A. Tretinoin (Retin-A)
B. Hydroquinone
C. 0.2% Crotton oil
D. Imiquimod
E. Diclofenac

ANSWERS & REFERENCES

1361) C       It will require microvascular anastomosis

Kokot N., Mazhar K., Reder L.S., Peng G.L., Sinha U.K.: Use of Supraclavicular Artery Island Flap for Reconstruction of Cervicofacial Defects, Otolaryngology-Head and Neck Surgery, 2014,  Vol. 150 (2) 222-228

1362) A      Effective Communication

Kandinov A, Mutchnick S, Nangia V, Svider PF, Zuliani GF, Shkoukani MA, Carron MA. JAMA Facial Plast Surg. 2017 Jul 1;19(4):255-259

1363) D       Nasofrontal angle 135° 

Kyung-Chul Moon, Seung-Kyu Han: Surgical Anatomy of the Asian Nose, Rhinoplasty for the Asian Nose, Facial Plastic Surgery Clinics, Elsevier, 26:3, August 2018, pp. 259-268

1364) D     Early surgical management

Brennan TE, Waner M, O TM.: The Tissue Expander Effect in Early Surgical Management of Select Focal Infantile Hemangiomas. JAMA Facial Plast Surg. 2017 Jul 1;19(4):282-286

1365) A     Radiesse

Boahene K. D.O.: Synthetic and Biologic Implants, chapter 4 in Facial Plastic and Reconstructive Surgery, Papel, 2016, pp. 25-37

1366) E     Increase upper lip projection

Cerrati E. W.,  Dayan S. H. : Association of Increasing Nasal Tip Projection With Lip Position in Primary Rhinoplasty, JAMA Facial Plast Surg. 2017 Jul; 19(4): 323–326.

1367) A        Merrifield's Method 

Cerrati E. W.,  Dayan S. H. : Association of Increasing Nasal Tip Projection With Lip Position in Primary Rhinoplasty, JAMA Facial Plast Surg. 2017 Jul; 19(4): 323–326.

1368) E      5 years

Boahene K.D.O.:  Synthetic and Biologic Implants jn chapter 4 in Facial Plastic and Reconstructive Surgery, Papel, 2016, pp. 25-37

1369) B    Overcorrection

Glasgold R. A., Lam S. M., Glasgold M. J.: Complementary Fat Grafting chapter 24 in Facial Plastic and Reconstructive Surgery, ( Papel I.D.), Thieme, Fourth Edition, 2016, pp. 282-293.

1370) C       0.2% Crotton oil

Been M.J, Harmych B. M., M. D.S., Mangat D.S.: Dermabrasion, Chemical Peels, and Dermaceuticals,  chapter 19 in Facial Plastic and Reconstructive Surgery, ( Papel I.D.), Thieme, Fourth Edition, 2016, pp. 223-234.

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Updated: October 11, 2018