1581-1590 MCQ in Facial Plastic and Reconstructive Surgery

 1581-1590

------------------------------
Updated: May 4, 2025

1581) The Worthen flap for forehead local defect reconstruction is based on a 

A. Rotation transfer
B. Advancement transfer

C. Transposition

D. Interpolation transfer

E. Island transfer

1582) Which of the following statements regarding Radial Forearm Free Flap (RFFF) is FALSE?

A. RFFF is the variety of free flap most commonly used in the head and neck reconstruction. 

B. The fasciocutaneous (RFFF) has the option to incorporate the radius bone as an osteocutaneous flap. 

C. The RFFF has an Split Thickness Skin Graft (STSG) failure of approximately 5%.

D. The Full Thickness Skin Graft (FTSG) is the most common technique used for RFFF donor site reconstruction.

E. The alternative of advancement the ulnar skin of the forearm is advanced both radially and distally to cover the donor site.

1583) Which of the following Free Flaps is the MOST common used in SCALP Reconstruction?

A. Latissimus dorsi flap

B. Scapula flap

C. Rectus Abdominis flap

D. Radial forearm flap
E. Anterolateral thigh flap

1584) Which of the following statements in the face Mohs Micrographic Surgery (MMS) is FALSE?

A. MMS involves the examination of 100% of the face/lesion margin.
B. MMS will allow an immediately local tissue rearrangement and/or local flap reconstruction  (rather than in a delayed procedure).

C. MMS is the ideal option to be used also with the diagnosis of  cutaneous melanoma.
D. MMS will require 1-6 rounds of histology clearance during the operation.

E. MMS is usually performed under local anesthesia.

1585) After the following statements regarding Traumatic Nasal Avulsion (TNA) Injuries is TRUE? 

A. TNA injuries should be decontaminated with high-pressure irrigation systems.

B. TNA injuries should be decontaminated with high-concentrated betadine and saline.

C. TNA injuries by canine bite wounds are contaminated by Streptococcus and Staphylococcus.
D. TNA injuries with total avulsion should be preserved with a temperature of 20 degrees Celsius.

E. TNA injuries with total avulsion  should be replanted within 12 hours of the traumatic event.

1586) Which of the following eyelid anatomic areas is the one indicated by the arrow?

A. Central fat pad

B. Medial fat pad
C. Trochlea

D. Lacrimal gland

E. Superior rectus muscle

1587) Which of the following number of stages involves the use of Prelaminated Forehead Flap for nasal reconstruction?

 

A. 1
B. 2

C. 3

D. 4
E. 5

1588) Which of the following statements related to structural support with bone grafts for large defect in Nasal Reconstruction is FALSE?

A. Bone grafts for nasal reconstruction are: iliac crest, osteochondral rib and calvarium.

B. The most common used bone graft for large defect in nasal reconstruction is the split-calvarial graft.

C. Calvarium bone grafting has a increased resorption and less survival rating compared to rib and iliac crest.

D. Bone grafts will require stabilization to the nasal or frontal bones with plates or drill holes.

E. The osteocutaneous radial forearm flap is ideal for reconstruction of large nasal defects.

1589) Which of the following statements regarding Tissue Expansion is TRUE?

A. The epidermis layer is decreased

B. The dermis layer is decreased

C. Melanin production decreases

D. Hair density remain the same
E. The muscle layer remain the same

1590) Which of the following TYPE of collagen is MOST ABUNDANT in tendons?

A. Type I

B. Type II

C. Type III

D. Type IV

E. Type V

ANSWERS & REFERENCES


1581) A.    Rotation transfer

Worthen, Eugene F. M.D: Repair of forehead defects by rotation of local flaps, Plast Reconstr Surg. 1976 Feb;57(2):204-6.

1582) D     The Full Thickness Skin Graft (FTSG) is the most common technique used for RFFF donor site reconstruction.

Hellums R., Trott S., Wax M.K.: Minimizing Donor Site Morbidity and Innovations in Donor Site Management,  Facial Plastic Surgery Clinic N. America, 33 (2025), pp. 21-31

1583) A    Latissimus dorsi flap

Trott S., Hellums R., Wax M. K.: Scalp Reconstruction,  Facial Plastic Surgery Clinic N. America, 33 (2025), pp. 85-93

1584) C   MMS is the ideal option to be used also with the diagnosis of  cutaneous melanoma.

 

Song J. S., Smith jr. S.P., Stucken C.L.: Implications of Malignancy, Radiation, and Timing of Major Nasal Reconstruction,   Facial Plastic Surgery Clinic N. America, 32 (2024), pp. 189-198

1585) E   TNA injuries with total avulsion  should be replanted within 12 hours of the traumatic event.

Bevans S.: Management of Traumatic Nasal Avulsion Injuries in Facial Plastic Surgery Clinic N. America, 32 (2024), pp. 315-325

1586) C    Trochlea

Sykes J., Olds C.: Anatomic Trends and Directions in Periorbital Aesthetic Surgery,    Facial Plastic Surgery Clinic N. America, 29 (2021), pp. 155-162

1587) D    4

Arianpour K., Byme P.J.: Nasal lining Reconstruction with Prelaminated Foreehead Flap,    Facial Plastic Surgery Clinic N. America, 32 (2024), pp. 239-246

1588) C      Calvarium bone grafting has a increased resorption and less survival rating compared to rib and iliac crest.

Kinkhabwala C. M., Patel K. G.: Structural Suport for Large to Total Nasal Reconstruction,    Facial Plastic Surgery Clinic N. America, 32 (2024), pp. 261-269

1589) B    The dermis layer is decreased

Andrews K.J, Thomas J.R.: chapter 37 in Scar Revision, Facial Plastic and Reconstructive Surgery, Clinical Reference Guide (Desai S.C, editor), Plural Publishing, 2017, pp. 365-377

1590) A    Type I

https://www.sciencedirect.com/science/article/pii/S0006349516303630?via%3Dihub

-------------------------------

Updated: May 4, 2025