Sunday, April 12, 2020

1481-1490 MCQ's Facial Plastic and Reconstructive Surgery

1481-1490
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Updated: April 18, 2020 

1481) Which of the following statements regarding the use of high-density polyethylene (Medpor) use in auricular reconstruction is FALSE?

A. It is a non-absorbable material
B. It allows tissue in growth and collagen deposition
C. It has a slow and poor revascularization
D. It is covered with a pedicle fascia flap
E. It can be contoured with a scalpel or burr

1482) Which of the following lip reconstruction techniques is the LEAST likely to induce microstomia?

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

1483) Which of the following statements related to patients with Body Dysmorphic Disorder (BDD) is FALSE?

A. 75% BDD patients report symptoms unchanged or increased after cosmetic surgery
B. Patients with a psychiatric diagnosed BDD are not candidates for cosmetic surgery
C. Patient with BDD are patients with increase litigious risk for cosmetic surgeons
D. BDD patients are potential individuals to become violent post-surgery and harm their surgeons
E. BDD can be screened with Body Dysmorphic Disorder Questionnaire with 100% sensitivity and 93 % specificity

1484) Which percentage of the total body surface area represents the head and neck in an adult patient?

A. 6%
B. 9%.
C. 12%
D. 15%
E. 18%
    1485) Which of the following statements regarding the cleft lip repair by using the rotation-advancement technique repair is FALSE?

    A. Back-cut incision in the non-cleft segment is contraindicated.
    B. The Cupid bow and philtrum are preserved.
    C. Central cutaneous flap (C) is used for columellar lengthening.
    D. The medial cleft lip will create the rotation flap.
    E. The lateral cleft lip will create the advancement flap.

    1486) Which of the following lip reconstruction technique is represented in the drawing below?



    A. Abbe flap
    B. Estlander flap
    C. Gillies flap
    D. Gate flap
    E. Karapandzic flap

    1487) Which of the following muscles is related to the hamular process in the anatomy of the cleft palate?

    A. Levator palatini
    B. Palatoglossus
    C. Palatopharyngeus
    D. Tensor veli palatini
    E. Superior pharyngeal constricture

    1488) Which of the following timing is adequate for dermabrasion after rhytidectomy that involved undermining of the skin during the surgical procedure?

    A. 2 months
    B. 3 months
    C. 4 months
    D. 5 months
    E. 6 months

    1489) Which of the following statements regarding a characteristic of keloids formation is FALSE?

    A. It extends beyond the original injury field
    B. It may involute within 12-18 months
    C. It occurred usually in upper chest, shoulders, upper back
    D. It occurred commonly in darkly pigmented skin
    E. It has a tendency for familial predisposition

    1490) Which of the following lip reconstructive technique is adequate for a total lower lip reconstruction?

    A. Abbe flap
    B. Estlander flap
    C. Gillies flap
    D. Gate flap
    E. Karapandzic flap


    ANSWERS & REFERENCES


    1481) C      It has a slow and poor revascularization

    Jun Z., Shouqin Z., Dan-ni W., Hai-jiang D.: Journal of Otology Vol. 1 No2, pp. 116-118, Dec. 2006

    1482) D     Bernard

    https://emedicine.medscape.com/article/878332-overview#a7

    1483) A     75% BDD patients report symptoms unchanged or increased after cosmetic surgery

    https://emedicine.medscape.com/article/291182-treatment#d8

    Moubayed S. P., Mourad M. W., Riera March A.  Facial Plastic & Reconstructive Surgery, Concepts, Questions, Answers, chapter 5 Psychological  Aspects in Plastic Surgery , Jaupee Brothers Medical Publishers, 2019, pp.29-31

    1484) B    9%.


    1485) A      Back-cut incision in the non-cleft segment is contraindicated.   

    Inoue S., Kurosaka H., Lee D., Yamashiro T.: Multidisciplinary Approach for Treating Malocclusion of Patient with Basal Cell Nevus Syndrome: A Case Report, The Cleft Palate-Craniofacial Journal 2020, Vol. 57 (2)  pp. 255-262

    1486) D      Gate flap

    Fujimori R.: "Gate flap" for the total reconstruction of the lower lip, British Journal of Plastic Surgery, 33, 1980, pp. 340-345

    Moubayed S. P., Mourad M. W., Riera March A.  Facial Plastic & Reconstructive Surgery, Concepts, Questions, Answers, chapter 13 in Cheiloplasty , Jaupee Brothers Medical Publishers, 2019, pp.102-105

    1487) D      Tensor veli palatine

    https://emedicine.medscape.com/article/1279283-overview#a12


    1489)      It may involute within 12-18 months

    Moubayed S. P., Mourad M. W., Riera March A.  Facial Plastic & Reconstructive Surgery, Concepts, Questions, Answers, chapter 16 in Scar Revision and Dermabrasion , Jaupee Brothers Medical Publishers, 2019, pp.130-137

    1490) D      Gate flap

    Fujimori R.: "Gate flap" for the total reconstruction of the lower lip, British Journal of Plastic Surgery, 33, 1980, pp. 340-345

    Moubayed S. P., Mourad M. W., Riera March A.  Facial Plastic & Reconstructive Surgery, Concepts, Questions, Answers, chapter 13 in Cheiloplasty , Jaupee Brothers Medical Publishers, 2019, pp.102-105

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    Updated: April 18, 2020

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