Friday, May 21, 2010

31-40 MCQ in Facial Plastic and Reconstructive Surgery


31-40

31) After intervention, which of the following scars in the one with the HIGHEST possibility of a POOR cosmetic result?


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

32) The MOST useful palatoplasty technique for repair of complete unilateral cleft palate deformity is:

A. Furlow’s technique
B. Von Langenbeck palatoplasty technique
C. Three-Flap palatoplasty technique
D. Two-Flap palatoplasty technique
E. Two-Flap palatoplasty technique with associated vomerian flaps

33) The MOST adequate timing for alveolar bone grafting in cleft deformities is:

A. 3 months of age, associated with lip repair
B. 1 year of age, associated with palate repair
C. 3 years of age
D. 10 years of age
E. 18 years of age

34) Which of the following statements BEST describes the Millard lip repair?

A. The medial segment is rotated superiorly and the lateral segment is advanced medially.
B. The medial segment is rotated inferiorly and the lateral segment is advanced medially.
C. The medial segment is advanced laterally and the lateral segment is rotated inferiorly.
D. The medial segment is advanced laterally and the lateral segment is rotated superiorly.
E. The medial and the lateral segments have a rotation and advancement component.

35) Which of the following statements about the triangular flap technique to repair a unilateral cleft lip is TRUE?

A. Minimal tissue is discarded.
B. The suture line is well camouflaged.
C. Exact measurements are difficult to obtain and results are not consistently reproducible.
D. The procedure will allow alterations or adjustments during the operation after the triangular flap has been executed.
E. It is a consistent clef lip repair technique for decreasing vertical lip contraction

36) Which of the following wound adhesives is the one APPROVED by the Food and Drug Administration (FDA) for closure of the skin?

A. Butyl-2-cyanoacrylate
B. Octyl-2-cyanoacrylate
C. Ethyl-2-cyanoacrylate
D. Butyl-8-cyanoacrylate
E. Octyl-8-cyanoacrylate

37) Which of the following statements is TRUE about brow position?

A. The medial end of the brow is located along a vertical line drawn through the ala of the nose.
B. In men, the brow should be well above the orbital rim.
C. The lateral end of the eyebrow is located 2 mm above an horizontal line passing through the medial end of the eyebrow.
D. In women the brow is more horizontal and is positioned more inferiorly than the male eyebrow.
E. The maximum height of the brow should be at the medial limbus

38) Which of the following is an absolute CONTRAINDICATION to facial chemical peeling?

A. History of herpes infection
B. Fitzpatrick Type IV
C. Fitzpatrick Type VI
D. Telangiectases
E. Recent isotretinoin treatment

39) Which of the following statements is FALSE about blepharoptosis?

A. It involves a thin upper eyelid.
B. It involves a high upper eyelid fold.
C. The levator function is normal.
D. It involves a low upper eyelid fold.
E. Involutional ptosis is the most common etiology.

40) The BEST candidates for chemoexfoliation rejuvenation technique are:

A. Oriental males and females.
B. African American females.
C. Males in general.
D. Males with oily skin.
E. Females with fair skin.



ANSWERS & REFERENCES


31) C     C


Kokoska M. S., Thomas J. R.: Scar Revision, Chapter 5 in Facial Plastic and Reconstructive Surgery, second edition (Ira Papel, editor), Thieme Medical Publishers, p. 57, 2002

Kokoska M. S., Thomas J.R.: Scar Revision in chapter 5, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 59-65, 2009

Regan Thomas J., Mobley S. R.: Scar Revision and Camouflage, chapter 21 in Cummings Otolaryngology Head and Neck Surgery, Fifth Edition, Volume one, Mosby Elsevier, 2010, pp.295-301

32) D     Two-Flap palatoplasty technique

Sykes J. M: Diagnosis and Treatment of Cleft Lip and Palate Deformities in chapter 65 Facial Plastic and Reconstructive Surgery, second edition (Ira Papel, editor), Thieme Medical Publishers, p. 828, 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

33) D     10 years of age

Sykes J. M: Diagnosis and Treatment of Cleft Lip and Palate Deformities in chapter 65 Facial Plastic and Reconstructive Surgery, second edition (Ira Papel, editor), Thieme Medical Publishers, p. 828, 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

34) B     The medial segment is rotated inferiorly and the lateral segment is advanced medially.

Sykes J. M: Diagnosis and Treatment of Cleft Lip and Palate Deformities in chapter 65 Facial Plastic and Reconstructive Surgery, second edition (Ira Papel, editor), Thieme Medical Publishers, p. 828, 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

35) E     It is a consistent clef lip repair technique for decreasing vertical lip contraction

Sykes J. M: Diagnosis and Treatment of Cleft Lip and Palate Deformities in chapter 65 Facial Plastic and Reconstructive Surgery, second edition (Ira Papel, editor), Thieme Medical Publishers, p. 828, 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

36) B     Octyl-2-cyanoacrylate

Mobley S. R., Hillinski J., Toriumi D. M.: Surgical Tissue Adhesives, Facial Plastic Surgery Clinics of North America, New Horizons in Facial Plastic Surgery, (Sclafani, editor), Vol. 10., No. 2, , pp. 147-154, 2002

Toriumi D. M., Bagal A. A.: Cyanoacrylate Tissue Adhesives for Skin Closure in the Outpatient Setting, Office-Based Procedures in Facial Plastic Surgery, Otolaryngologic Clinics of North America, Vol. 35, No. 1, p. 105, 2002

http://www.emedicine.com/ent/topic375.htm


Egan K. K., Kim D. W., Toriumi D. M.: Tissue Adhesives in chapter 9, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 91-97, 2009

37) A      The medial end of the brow is located along a vertical line drawn through the ala of the nose.

Becker F.F., Johnson, Jr., C. M.: Surgical treatment of the upper Third of the Aging Face, chapter 30 in Otolaryngology-Head and Neck Surgery (Cummings, Fredrikson, Harker, Krause, Schuller, editors), Second Edition, Mosby, p. 551, 1993

Quatela V.C., Graham III, H.C., Sabini P.: Rejuvenation of the Brow and Midface in chapter 16 Facial Plastic and Reconstructive Surgery, second edition (Ira Papel, editor), Thieme Medical Publishers, pp. 172-173, 200

Graham III H. D., Quatela V. C., Sabini P.: Endoscopic Approach to the Brow and Midface in chapter 20, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 227-241, 2009

38) E     Recent isotretinoin treatment

Perkins S.W.: Chemical Peel, chapter 32 in Otolaryngology-Head and Neck Surgery (Cummings, Fredrikson, Harker, Krause, Schuller, editors), Second Edition, Mosby, p. 589-591, 1993

Mandy S. H., Monheit G. D.: Dermabrasion and Chemical Peels in Chapter 20,Facial Plastic and Reconstructive Surgery, second edition (Ira Papel, editor), Thieme Medical Publishers, pp. 223-240, 2002

Mandy S.H., Monheit G.D.: Dermabrasion and Chemical Peels in chapter 25, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 301-320, 2009

39) D     It involves a low upper eyelid fold.


Millay D.J., Larrabee Jr., W. F.: Eyelid Reconstruction in chapter 43 Facial Plastic and Reconstructive Surgery (Papel and Nachlas, editors), Mosby, 1992

40) E     Females with fair skin.

Cortez E. A.: Phenol Peeling Revisited, Rejuvenation of the Lower Face and Neck, Facial Plastic Surgery Clinics of North America, Saunders, Volume 8, Number 2, pp. 123-125, May 2000

Mandy S.H., Monheit G.D.: Dermabrasion and Chemical Peels in chapter 25, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 301-320, 2009

Perkins S. W., Sandel IV H. D.: Management of Aging Skin, chapter 27 in Cummings Otolaryngology Head and Neck Surgery, Fifth Edition, Volume one, Mosby Elsevier, 2010, pp. 390-404

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 Updated: April 30, 2017

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