71-80 MCQ in Facial Plastic and Reconstructive Surgery

71-80

71) Which of the following statements about the flap shown below is FALSE?


A. The design is a rotation-advancement flap.
B. It is useful to close circular cheek defects.
C. On the scalp the rotation flap should have 4 times the diameter of the defect.
D. It is ideally designed to move along an arc of  less than 30 degrees.
E. Both 90 and 180 degree arc flaps can be used in the design.

72) The transconjuntival blepharoplasty is BEST indicated for addressing one of the following anatomic abnormalities:

A. Herniated orbital fat
B. Pseudoherniated orbital fat
C. Lower eyelid skin laxity
D. Hypertrophied orbicularis oculi muscle
E. Lower eyelid rhytids

73) Which of following measures will INCREASE the toxic effects of phenol application?

A. Intravenous hydration
B. Extending the time of the application for a full-face peel
C. Decreasing the concentration of phenol
D. Cleansing and degreasing of entire face
E. Administration of oxygen

74) Dermabrasion is the treatment of CHOICE for which of the following:

A. Postacne scars
B. Traumatic scars
C. Facial wrinkles
D. Actinic keratosis
E. Melasma

75) Hyperpigmentation as a side effect of dermabrasion will be INCREASED by which of the following?

A. Hydroquinone
B. Kojic acid
C. Sun avoidance
D. Estrogens
E. Tretinoin

76) Which of the following anesthetics is MOST likely related to cardiovascular toxicity?

A. Lidocaine
B. Prilocaine
C. Mepivacaine
D. Etidocaine
E. Bupivacaine

77) If a skin graft is wrapped in saline soaked gauze and placed in a sterile jar in a refrigerator at 4° C, what is THE MAXIMUM TIME that it can be stored before grafting?

A. 72 hours
B. 1 week
C. 2 weeks
D. 3 weeks
E. 4 weeks

78) Which of the following surgical techniques will NOT improve an upper lateral cartilage nasal valve collapse?

A. Spreader graft placement
B. Flaring sutures placement
C. Splay graft placement
D. Columellar graft placement
E. Butterfly graft placement

79) What is the RATE of revision rhinoplasty?

A. 1%
B. 4%
C. 12%
D. 20%
E. 25%

80) Which of the following group/patients is NOT usually predisposed to the tip bossae formation?

A. Patients with thin skin and nasal tip bifidity.
B. Patients with thick skin and normal interdomal width.
C. Patients with vertical dome division.
D. Patients with overresection of the lateral crura.
E. Patient with thin skin, strong cartilages and excessive interdomal width.

ANSWERS & REFERENCES

71) C     On the scalp the rotation flap should have 4 times the diameter of the defect.

Triana R.J. Jr., Murakami C. S., Larrabee Jr. W. F.: Skin Grafts and Local Flaps, Chapter 4 in Facial Plastic and Reconstructive Surgery, (Papel, editor), Thieme, Second Edition, pp. 46-48, 2002

Triana R.J. Jr., Murakami C. S., Larrabee Jr. W. F.: Skin Grafts and Local Flaps, Chapter 4 in Facial Plastic and Reconstructive Surgery, (Papel, editor), Thieme, Third Edition, pp. 41-58, 2009

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

72) B     Pseudoherniated orbital fat

Crumley R. L., Torkian B. A., Karam A. M.: Lower Eyelid Blepharoplasty, Chapter 23 in in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Third Edition, pp. 271-285, 2009

http://emedicine.medscape.com/article/838605-overview63

Friedman O., Zaldivar R. A., Wang T. D.: Blepharoplasty, chapter 31 in Cummings Otolaryngology-Head and Neck Surgery, Fifth Edition, Volume one, Mosby Elsevier, 2010, pp. 439-451

73) C     Decreasing the concentration of phenol

Mandy S. H., Monheit G.D.: Dermabrasion and Chemical Peels Chapter 20 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Second Edition, pp. 228-239, 2002

Mandy S. H., Monheit G.D.: Dermabrasion and Chemical Peels Chapter 25 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Third Edition, pp. 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

74) A     Postacne scars

Mandy S. H., Monheit G.D.: Dermabrasion and Chemical Peels Chapter 20 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Second Edition, pp. 228-239, 2002

Mandy S. H., Monheit G.D.: Dermabrasion and Chemical Peels Chapter 25 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Third Edition, pp. 301-320, 2009

http://emedicine.medscape.com/article/1126231-overview

75) D     Estrogens

Hruza G.J.: Dermabrasion in Facial Rejuvenation Nonsurgical Modalities, Facial Plastic Surgery Clinics of North America, Saunders, Vol.9 No. 2, pp. 275-281

76) E     Bupivacaine

Ehlert T.K., Arnold D. E.: Local Anesthesia for Soft-Tissue Surgery, Otolaryngology Clinics of North America, Vol. 23, No. 5, pp. 836-837

Fletcher M.: Anesthesia in Facial Plastic Surgery Chapter 14 Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Second Edition, pp. 145-146, 2002

Fletcher M.: Anesthesia in Facial Plastic Surgery Chapter 17 Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Third Edition, pp. 189-197, 2009

77) D     3 weeks

Hom D. B., Tope W. D.: Minimally Invasive Options and Skin Grafts for Cutaneous Reconstruction, chapter 43 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Second Edition, p. 525, 2002

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

78) D     Columellar graft placement

Dolan R.W.: Nasal Valve and Nasal Alar Dysfunction in Facial Plastic Surgery of North America, Saunders, Vol. 8, No. 4, pp. 452-459

Papel I. D.: Surgery of the Middle Vault, Chapter 43 in Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 555-561, 2009

Becker D. G.: Complications in Rhinoplasty, Chapter 49 in Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 639-648, 2009

79) C     12%

Quatela V.C., Wayen I.: Challenges of Secondary Rhinoplasty in Facial Plastic Surgery of North America, Advances in Rhinoplasty, ( G. R. Holt, Guest editor), Saunders, Nov. 2000, Vol. 8, No. 4, p. 515

Christophel J. J., Park S. S.: Complications in Rhinoplasty, Facial Plastic Surgery Clinics of North America, (Constantinides, Guest editor), Feb. 2009, Vol. 17, No. 1, pp. 145-156

Kamer K. M,, McQuown: Revision Rhinoplasty, Analysis and Treatment, Arch Otolaryngology, Head Neck Surgery, Vol. 114, March 1988, pp. 257-266

 Kim D. W., Lopez M. A., Toriumi D. M.: Revision Rhinoplasty, chapter 39 in Cummings Otolaryngology-Head and Neck Surgery, Fifth edition, Volume one, Mosby Elsevier, 2010, pp. 580-594

80) B     Patients with thick skin and normal interdomal width.

Becker D. G.: Complications of Rhinoplasty, chapter 39 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Second Edition, p. 525, 2002

Becker D. G.: Complications in Rhinoplasty, Chapter 49 in Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 639-648, 2009

Kim D. W., Lopez M. A., Toriumi D. M.: Revision Rhinoplasty, chapter 39 in Cummings Otolaryngology-Head and Neck Surgery, Fifth edition, Volume one, Mosby Elsevier, 2010, pp. 580-594

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 Updated:  April 30, 2017