11) Which surgical management IS NOT INDICATED in the mandible fracture represented in the drawing below? Click the picture to enlarge image.
B. Four-hole dynamic compression plate
C. Four-hole dynamic compression plate (DCP) and an arch bar
D. Four-hole eccentric dynamic compression plate (EDCP)
E. Reconstructive plate
12) At which age is a cleft lip repair BEST PERFORMED?
A. 1 month
B. 3 months
C. 6 months
D. 9 months
E. 12 months
13) In the 60 degree Z-plasty technique the length of the scar dimension is INCREASED by which percentage?
A. 25 percent
B. 30 percent
C. 50 percent
D. 60 percent
E. 75 percent
14) A webbed scar resulting as a complication of upper eyelid blepharoplasty is BEST corrected by which technique?
A. Single excision
B. Serial excision
C. Z-plasty repair
D. Geometric broken line closure repair
E. Dermabrasion
15) Which statement is TRUE about the NORMAL ANATOMY of the lower eyelid?
A. The lower eyelid margin is 2 mm above the inferior corneal limbus.
B. The lower eyelid margin is 2 mm below the inferior corneal limbus.
C. The lateral canthal angle is 2 mm inferior to the medial canthal angle.
D. The lateral canthal angle is 2 mm superior to the medial canthal angle.
E. The lateral canthal angle and the medial canthal angle are at the same level.
16) Which of the following statements is FALSE about the running W-plasty technique for scar revision?
A. Each limb of the triangles should be 5 mm in length.
B. The apex of the triangles should be 60 degree angles.
C. The final triangle at the terminal corners of a running W-plasty should be at a 60 degree angle.
D. It is used in scars oriented perpendicular to the RSTL (relaxed skin tension lines).
E. It is used in unfavorable scars of the cheek area.
17) Which of the following IS NOT a treatment for retrobulbar hematoma occuring as a complication of blepharoplasty?
A. Ice saline compresses
B. Opening suture lines
C. Diamox, 500 mg, slow IV push
D. Decadron, 10 mg IV push
E. Medial canthotomy with inferior cantholysis
18) Which of the following statements is TRUE about the vertical axis of normal ear architecture?
A. It is inclined posteriorly 5 degrees.
B. It is inclined anteriorly 5 degrees.
C. It is inclined posteriorly 15 degrees
D. It is inclined anteriorly 15 degrees.
E. It remains in the vertical axis without inclination either anteriorly or posteriorly.
19) Where is the IDEAL PLACE from which to harvest the skin graft used in third stage reconstruction of congenital microtia repair?
A. Thigh
B. Supraclavicular
C. Preauricular
D. Postauricular
E. Buttocks
20) Which of the following statements is TRUE about the scapha?
A. It is the fossa located between the superior and inferior crus of anthelix.
B. It is the fossa located between the tragus and antitragus.
C. It is the fossa located between the concha cymba and the concha cavum.
D. It is the fossa located between the inferior crus of anthelix and the cymba concha.
E. It is the fossa located between the helix and the antihelix.
ANSWERS & REFERENCES
11) B Four-hole dynamic compression plate
Greenberg A.M.: Craniomaxillofacial Fractures, Principles of Internal Fixation Using the AO/ASIF Technique, Springer-Verlag, pp.54-56, 1993
12) B 3 months
Sykes M. Jonathan: Diagnosis and Treatment of Cleft Lip and Palate Deformities in chapter 65, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp. 818, 2002
Capone R. B., Sykes J. M.: Evaluation and Management of Cleft Lip and Palate Disorders in chapter 76, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 1059-1078, 2009
13) E 75 percent
Cook T. A., Guida R. A., Burke A. J. C., Soft Tissue Techniques in chapter 3, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp. 26-37, 2002
Triana Jr. R. J., Murakami C. S., Larrabee Jr. W. F.: Skin Grafts and Local Flaps in chapter 4, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, third edition (Ira Papel, editor) pp. 41-58, 2009
Frodel J.L., Wang T.D: Scar Revision in Plastic Surgery Clinics of North America, Vol. 6 Number 2, p. 150, May. 1998
14) C Z-plasty repair
Pastorek N.: Upper lid Blepharoplasty in Plastic Surgery Clinics of North America, Vol. 3 Number 2, p. 143, May. 1995
Crumley R. L., Torkian B. A., Karam A. M.: Lower Eyelid Blepharoplasty in chapter 23, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 271-285, 2009
15) D The lateral canthal angle is 2 mm superior to the medial canthal angle
Shorr N., Edelstein C., Shorr J.K.: Madame Butterfly Procedure Total Lower Eyelid Reconstruction in Three Layers using a Hard Palate Graft in Facial Plastic Surgery Clinics of North America, Vol. 6 Number 2, pp. 22-223, May. 1998
Crumley R. L., Torkian B. A., Karam A. M.: Lower Eyelid Blepharoplasty in chapter 23, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, third edition (Ira Papel, editor) pp. 271-285, 2009
16) C The final triangle at the terminal corners of a running W-plasty should be at a 60 degree angle
Park S.: Scar Revision through W-Plasty in Facial Plastic Surgery Clinics of North America, Vol. 6 Number 2, p. 158, May. 1998
17) E Medial canthotomy with inferior cantholysis
Adamson P.A. Constantinides M.S.: Complications of Blepharoplasty in Facial Plastic Surgery Clinics of North America, Vol. 3 Number 2, p. 214, May. 1995
Rankin B. S., Arden R. L., Crumley R. L.:Lower Eyelid Blepharoplasty in chapter 18, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp. 196-207, 2002
Crumley R. L., Torkian B. A., Karam A. M.: Lower Eyelid Blepharoplasty in chapter 23, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 271-285, 2009
18) C It is inclined posteriorly 15 degrees
Cheney M.L.: Repair of Typical and Atypical Microtia in Facial Plastic Surgery Clinics of North America, Vol. 5 Number 4, p. 372, Nov. 1997
Ridley M. B., VanHook S. M.: Aesthetic Facial Proportion in chapter 11, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 119-133, 2009
19) E Buttocks
Cheney M.L.: Repair of Typical and Atypical Microtia in Facial Plastic Surgery Clinics of North America, Vol. 5 Number 4, p. 337, Nov. 1997
Ruder R.O.: Congenital Auricular Deformities in chapter 75, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 1043-1057, 2009
20) E It is the fossa located between the helix and the antihelix
Lazor J.: Anatomy and Embryology in Facial Plastic Surgery Clinics of North America, Vol. 5 Number 4, p. 307, Nov. 1997
Nachlas N. E.: Otoplasty in chapter 27, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp. 309-321, 2002
Nachlas N.E.: Otoplasty in chapter 34, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 421-433, 2009
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Updated: April 26, 2017
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