Thursday, May 20, 2010

41-50 MCQ in Facial Plastic and Reconstructive Surgery


41-50 

41) Which of the following statements ABOUT TO THE NOSE describe the drawing below?

A. Projection/Goode method
B. Projection/Simons method
C. Rotation/Goode method
D. Rotation/Simons method
E. Zero Meridian of Gonzalez-Ulloa

42) Microdermabrasion PRODUCES a controlled removal of the:

A. Total epidermis
B. Stratum corneum epidermis
C. Papillary dermis
D. Superficial reticular dermis
E. Deep reticular dermis

43) Which of the following anesthetic agents has an ESTER chemical structure?

A. Lidocaine
B. Bupivacaine
C. Mepivacaine
D. Ropivacaine
E. Tetracaine

44) Which of the following IS NOT a topographic subunit of the nose?

A. Nasal dorsum
B. Nasal tip
C. Nasal supratip
D. Lateral nasal sidewalls
E. Soft triangles

45) Which of the following statements is TRUE about the nose?

A. The thickest area of the skin is located at the rhinion.
B. The basal view represents a triangle in which the lobule is one half of the height of the triangle and the columella the remaining half.
C. The nasofrontal angle should be 120 degrees.
D. The nasolabial angle should be 80 degrees.
E. The face is divided by horizontal lines into facial fifths.

46) Which of the following subtypes of basal cell carcinoma (BCC) is the MOST common?

A. Nodular BCC
B. Superficial BCC
C. Morpheaform BCC
D. Infiltrative BCC
E. Basosquamous carcinoma

47) Which of the following areas IS NOT appropriate for healing by second intention?

A. Medial canthus
B. Nasal ala
C. Melolabial fold
D. Posterior auricular sulcus
E. Convex surfaces of the face

48) Which of the following subtype of melanoma is the MOST common?

A. Superficial spreading melanoma
B. Nodular melanoma
C. Lentigo maligna melanoma
D. Acral lentiginous melanoma
E. Micronodular melanoma

49) Which of the following statements regarding proper positioning and orientation of the auricle is TRUE?

A. The ear is tilted at an angle of 30 degrees posteriorly.
B. The vertical height of a normal adult ear is 8 cm.
C. The top of the ear is 0.5 cm above the level of the brow.
D. The normal auricle protrudes approximately 30 degrees from the skull.
E. The helical rim usually protrudes 4 cm from the head.

50) Which of the following sequences is the one which defines the PROPER order in which to perform the different types of rhinoplasty osteotomy?

A. Lateral, intermediate, medial
B. Intermediate, lateral, medial
C. Medial, lateral, intermediate
D. Intermediate, medial, lateral
E. Medial, intermediate, lateral

ANSWERS & REFERENCES

41) B     Projection/Simons method

Ridley M. B., VanHook S. M.: Aesthetic Facial Proportions, Chapter 9 in Facial Plastic and Reconstructive Surgery (Papel, editor) Second Edition, Thieme, p. 104, 2002

Ridley M. B., VanHook Steven M.: Aesthetic Facial Proportions chapter 11, in Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 119-133, 2009

 Zimbler M. S.: Aesthetic Facial Analysis, chapter 19, in Cummings Otolaryngology-Head and Neck Surgery, Fifth Edition, Volume one, Mosby Elsevier, 2010, pp.269-280

42) B     Stratum corneum epidermis

Szachowicz Edward: Microepidermabrasion, An Adjunct to Medical Skin Care in Office-Based Procedures in Facial Plastic Surgery, Otolaryngologic Clinics of North America, (J. P. Porter, editor), Volume 35, Number 1, Saunders, 2002

43) E      Tetracaine

Ahlstrom K.K., Frodel J.L.: Local Anesthetics for Facial Plastic Procedures in Otolaryngologic Clinics of North America, Office-Based Procedures in Facial Plastic Surgery, Saunders ,Vol. 35, Number 1, p. 35, 2002

Lustik S. J., Newlands S. D..: Anesthesiology, Chapter 15 in Bailey's Head & Neck Surgery Otolaryngology, (Johnson J.T., Rosen C. A., editors), Volume one, Fifth edition, Wolters Kluwer / Lippincott Williams & Wilkins, 2014,  pp.235-249

http://emedicine.medscape.com/article/1831870-overview

44) C     Nasal supratip

Ridley M.B., VanHook S.M.: Aesthetic Facial Proportion, chapter 9 in Facial Plastic and Reconstructive Surgery ( Papel, editor) Second Edition, Thieme, p. 103, 2002

Ridley M. B.,VanHook Steven M.: Aesthetic Facial Proportions chapter 11, in Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 119-133, 2009

Baker S.R.: Reconstruction of Facial Defects, chapter 24, in Cummings Otolaryngology-Head and Neck Surgery, Fifth Edition, Volume one, Mosby Elsevier, 2010, pp.342-363

45) C     The nasofrontal angle should be 120 degrees.

Orten S.S., Hilger P. A.: Facial Analysis of the Rhinoplasty Patient, chapter 31 in Facial Plastic and Reconstructive Surgery (Papel, editor) Second Edition, Thieme, pp. 361-368, 2002

Boahene K. D. O., Orten S. S., Hilger P. A.: Facial Analysis of the Rhinoplasty Patient in chapter 76, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 477-487, 2009

46) A     Nodular BCC

Padgett O.K., Hendrix, Jar, J.D.: Cutaneous Malignancies and their Management in Otolaryngologic Clinics of North America, Saunders, Volume 34 Number 3, p 525, 2001

Hendrix J. D., Slingluff C. L.: Diagnosis and Treatment of Cutaneous Malignancies in chapter 52, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 675-702, 2009

47) E     Convex surfaces of the face

Padgett J.K., Hendrix, Jr, J.D.: Cutaneous Malignancies and their Management in Otolaryngologic Clinics of North America, Saunders, Volume 34 Number 3, pp. 548-550, 2001

Hom D. B., Tope W. D.: Minimally Invasive Options and Skin Grafts for Cutaneous Reconstruction in Chapter 43, Facial Plastic and Reconstructive Surgery, second edition (Ira Papel, editor), Thieme Medical Publishers, pp. 512-527, 2002

Hom D. B. , Tope W. D.: Minimally Invasive Options and Skin Grafts for Cutaneous Reconstruction in chapter 53, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 703-719, 2009

48) A     Superficial spreading melanoma

Padgett J.K., Hendrix, Jr, J.D.: Cutaneous Malignancies and their Management in Otolaryngologic Clinics of North America, Saunders, Volume 34 Number 3, pp. 525-537, 2001

 Berger A. J., Myers J. N.,  Nemechek A. J., Yao M.: Malignant Melanoma of the Head and Neck Region, Chapter 114 in Bailey's Head & Neck Surgery Otolaryngology, (Johnson J.T., Rosen C. A., editors), Volume one, Fifth edition, Wolters Kluwer / Lippincott Williams & Wilkins, 2014,  pp.1739-1759

http://emedicine.medscape.com/article/280245-overview

49) D      The normal auricle protrudes approximately 30 degrees from the skull.

Park S. S., Hood R. J.: Auricular Reconstruction in Otolaryngologic Clinics of North America, Saunders, Volume 34 Number 4, pp. 713-716, 2001

 Zimbler M. S.: Aesthetic Facial Analysis, chapter 19, in Cummings Otolaryngology-Head and Neck Surgery, Fifth Edition, Volume one, Mosby Elsevier, 2010, pp.269-280

 Winkler A., Wudel J. M..: Chapter 170 in Bailey's Head & Neck Surgery Otolaryngology, (Johnson J.T., Rosen C. A., editors), Volume two, Fifth edition, Wolters Kluwer / Lippincott Williams & Wilkins, 2014,  pp.2759-2771

50) E      Medial, intermediate, lateral

Mostafapour S.P., Murakami C.S., Larrabee, Jr. W.F.: Management of the Bony Nasal Vault chapter 34 in Facial Plastic and Reconstructive Surgery (Papel, editor) Second Edition, Thieme, pp. 402-405, 2002

Most S.P., Murakami C. S., Larrabee Jr. W. F.:Surgery of the Bony Nasal Vault, in chapter 42, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 547-553, 2009

Tardy M. E. Jr., Regan Thomas J.: Rhinoplasty, chapter 36, in Cummings Otolaryngology-Head and Neck Surgery, Fifth Edition, Volume one, Mosby Elsevier, 2010, pp.508-544

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 Updated: April 30, 2017

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