Saturday, October 15, 2011

1101-1110 MCQ Facial Plastic and Reconstructive Surgery

1101-1110 

1101) Which of the following statements is TRUE regarding seborrheic keratoses?

A. Seborrehic keratoses are due to sun exposure.
B. Seborrehic keratoses have a premalignant potential.
C. Seborrehic keratoses require a mandatory excision.
D. Seborrehic keratoses are superficial lesions.
E. Seborrehic keratoses can occur anywhere on the body including the palms and soles.

1102) Which of the following skin conditions IS TREATED effectively with topical 5-fluorouracil and/or Imiquimod cream?

A. Seborrehic keratoses
B. Dermatosis Papulosa Nigra
C. Actinic keratosis
D. Basal cell carcinoma
E. Keratoacantoma

1103) Which of the following skin nevus is the MOST common in the adult population?

A. Junctional nevus
B. Intradermal nevus
C. Compound nevus
D. Halo nevus
E. Blue nevus

1104) A "LARGE" congenital nevus is defined as a lesion of

A. Greater than 20 cm
B. Between 15-20 cm
C. Between 15-10 cm
D. Between 5-10 cm
E.Up to 5 cm with rapid exophitic growth

1105) Which of the following is the MOST appropriate management for a "LARGE" congenital nevus?

A. Conservative, no surgery.
B. Surgery, serial excision in stages
C. Surgery, total excision one stage
D. CO2 laser
E. Intralesional injections of methotrexate

1106) Which of the following scar revision techniques is the ONE used in the drawing?

A. M-plasty
B. Compound Z-plasty
C. Serial Z-plasty
D. Running W-plasty
E. Geometric broken line closure

1107) Which of the following percentages is the approximately chance of developing melanoma in the first two decades of life, in a child with a "LARGE" congenital nevus?

A. 1%
B. 5%
C. 10%
D. 20%
E. 25%

1108) The MOST appropriate management of spider telangiectasia is

A. Electrocautery
B. Incisional biopsy
C. Excision
D. Chemical peeling
E. CO2 laser

1109) Which of the following facial conditions will NOT require treatment?

A. Displastic nevus
B. Actinic keratosis
C. Venous lakes
D. Dermatofibrosarcoma protuberans
E. Trichoepithelioma

1110) Which of the following statements regarding hemangiomas and vascular malformations is FALSE?

A. Hemangiomas are present at birth.
B. Hemangiomas are characterized by a rapid postnatal growth for the first 8 to 12 months.
C. Hemangiomas have a slow regression over 5-8 years.
D. Vascular malformations grows proportional with the child's age.
E. Vascular malformations will expand with hormonal changes.



ANSWERS & REFERENCES

1101) D     Seborrehic keratoses are superficial lesions.

Lee K.K., Mehrany K., Swanson N. A.: Recognition and treatment of skin lesions, chapter 22 in Otolaryngology-Head and Neck Surgery, (Cummings, editor), 4th edition, 2005, Mosby

1102) C     Actinic keratosis

Lee K.K., Mehrany K., Swanson N. A.: Recognition and treatment of skin lesions, chapter 22 in Otolaryngology-Head and Neck Surgery, (Cummings, editor), 4th edition, 2005, Mosby

1103) B     Intradermal nevus

Lee K.K., Mehrany K., Swanson N. A.: Recognition and treatment of skin lesions, chapter 22 in Otolaryngology-Head and Neck Surgery, (Cummings, editor), 4th edition, 2005, Mosby

1104) A      Greater than 20 cm

Zimbler M. S., Ham J.: Aesthetic Facial Analysis, chapter 21 in Otolaryngology-Head and Neck Surgery, (Cummings, editor), 4th edition, 2005, Mosby

1105) B     Surgery, serial excision in stages

Lee K.K., Mehrany K., Swanson N. A.: Recognition and treatment of skin lesions, chapter 22 in Otolaryngology-Head and Neck Surgery, (Cummings, editor), 4th edition, 2005, Mosby

1106) C     Serial Z-plasty

Regan Thomas J., Ross Mobley S.: Scar Revision and camouflage, chapter 25 in Otolaryngology-Head and Neck Surgery, (Cummings, editor), 4th edition, 2005, Mosby

1107) C     10%

Regan Thomas J., Ross Mobley S.: Scar Revision and camouflage, chapter 25 in Otolaryngology-Head and Neck Surgery, (Cummings, editor), 4th edition, 2005, Mosby

1108) A      Electrocautery

Lee K.K., Mehrany K., Swanson N. A.: Recognition and treatment of skin lesions, chapter 22 in Otolaryngology-Head and Neck Surgery, (Cummings, editor), 4th edition, 2005, Mosby

1109) C     Venous lakes

Lee K.K., Mehrany K., Swanson N. A.: Recognition and treatment of skin lesions, chapter 22 in Otolaryngology-Head and Neck Surgery, (Cummings, editor), 4th edition, 2005, Mosby

1110) A     Hemangiomas are present at birth.

Lee K.K., Mehrany K., Swanson N. A.: Recognition and treatment of skin lesions, chapter 22 in Otolaryngology-Head and Neck Surgery, (Cummings, editor), 4th edition, 2005, Mosby

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