1181) Which of the following intravenous pharmacological drugs is an specific benzodiazepine antagonist?
A. Diazepam
B. Midazolam
C. Lorazepam
D. Oxazepam
E. Flumazenil
1182) Which of the following statements regarding the Leser-Trélat sign is FALSE?
A. It is the abrupt appearance of multiple seborreic keratosis.
B. It is also associated with multiple actinic keratosis lesions
C. It is usually accompanied by intense pruritus
D. It is commonly implicated or marker for internal malignancy
E.It is most commonly associated with colon adenocarcinoma
1183) Which of the following nevi are usually the largest?
A. Junctional nevus
B. Intradermal nevus
C. Compound nevus
D. Congenital nevus
E. Blue nevus
1184) Which of the following nevi are small, less than 1 cm, most common in women than men, dome-shaped blue appearance, and more than 50% of the cases found on the dorsa of the hands and feet?
A. Junctional nevus
B. Intradermal nevus
C. Compound nevus
D. Congenital nevus
E. Blue nevus
1185) Which of the following statements regarding the Halo nevus is FALSE?
A. It is a pigmented melanocytic nevus
B. It is usually malignant in nature
C. It is found in all races
D. It is found equally in boys and girls
E. It is usually found in children
1186) The drawing below represents the Millard technique in ONE-STAGE of a bilateral cleft lip repair. Which of the following flaps is the one indicated by the arrows?
B. Forked flap
C. Vermillion flap
D. Alar flap
E. Nasolabial flap
1187) Which of the following statements regarding the bilateral cleft lip is FALSE?
A. There is an anterior premaxillary projection
B. There is a deficient, short columella
C. The prolabium contains a well defined muscle
D. There is a deficient nasal floor present
E. There is an orbicularis oris muscle inserting into the lateral cleft margins
1188) Which of the following statements regarding Millard unilateral cleft lip repair is FALSE?
A. It is based in a rotation-advancement technique.
B. It concentrates the tension at the lower portion of the lip
C. It has its transverse incision at the base of the columella
D. It seeks to restore the Cupid's bow in a normal position
E. It is not based on precise measurements of the lip
1189) Which of the following techniques in cleft lip repair is MOST effective in the closure of a WIDE unilateral cleft lip that has a difference of 6 mm in height between the two philtral columns?
A. Millard
B. Tennison-Randall
C. Bardach
D. Le Mesurier
E. Rose-Thompson
1190) Which of the following methods of cleft lip repair is based on two triangular flaps?
A. Millard
B. Tennison-Randall
C. Bardach
D. Le Mesurier
E. Rose-Thompson
ANSWERS & REFERENCES
1181) E Flumazenil
http://emedicine.medscape.com/article/809993-overview
1182) B It is also associated with multiple actinic keratosis lesions
http://emedicine.medscape.com/article/1097299-overview
Shahan F. F., Johnson K. J., Zitelli J. A., Roenigk Jr. H. H.: Management of Benign Facial Lesions, chapter 183 in Head and Neck Surgery-Otolaryngology, 4th edition, (Bailey, Byron J.; Johnson, Jonas T.; Newlands, Shawn D., edtiors), 2006. pp. 2731-2748
Swanson N. A., Grekin R. C.: Recognition and Treatment of Skin Lesions, chapter 19 in Otolaryngology-Head and Neck Surgery, (Cummings, Fredrickson, Harker, Krause, Schuller, editors), Mosby, 1993, pp. 315-332
1183) D Congenital nevus
Shahan F. F., Johnson K. J., Zitelli J. A., Roenigk Jr. H. H.: Management of Benign Facial Lesions, chapter 183 in Head and Neck Surgery-Otolaryngology, 4th edition, (Bailey, Byron J.; Johnson, Jonas T.; Newlands, Shawn D., edtiors), 2006. pp. 2731-2748
Swanson N. A., Grekin R. C.: Recognition and Treatment of Skin Lesions, chapter 19 in Otolaryngology-Head and Neck Surgery, (Cummings, Fredrickson, Harker, Krause, Schuller, editors), Mosby, 1993, pp. 315-332
1184) E Blue nevus
Shahan F. F., Johnson K. J., Zitelli J. A., Roenigk Jr. H. H.: Management of Benign Facial Lesions, chapter 183 in Head and Neck Surgery-Otolaryngology, 4th edition, (Bailey, Byron J.; Johnson, Jonas T.; Newlands, Shawn D., edtiors), 2006. pp. 2731-2748
Swanson N. A., Grekin R. C.: Recognition and Treatment of Skin Lesions, chapter 19 in Otolaryngology-Head and Neck Surgery, (Cummings, Fredrickson, Harker, Krause, Schuller, editors), Mosby, 1993, pp. 315-332
1185) B It is usually malignant in nature
Ammirati C. T., Hruza G. J.: Clinical presentations of cutaneous melanoma, Seminal Review Issue, Facial Plastic of North America, (Thomas J. R, editor), Vol. 13, No. 1, February 2005, pp.33-46
http://emedicine.medscape.com/article/1057446-overview
1186) B Forked flap
Seibert R. W.: Bilateral Cleft Lip Repair, Chapter 11, in Pediatric Facial Plastic and Reconstructive Surgery, (Smith J. D., and Bumsted R.M., editors), Raven Press, 1993, pp. 147-157
http://emedicine.medscape.com/article/1279040-treatment
1187) C The prolabium contains a well defined muscle
Sykes J. M., Tollefson T.T.: Management of the cleft lip deformity, Seminal Review Issue, Facial Plastic of North America, (Thomas J. R, editor), Vol. 13, No. 1, February 2005, pp.157-167
http://emedicine.medscape.com/article/1279040-overview
1188) B It concentrates the tension at the lower portion of the lip
Schuller D. E., Krause C. J.: Cleft lip and Palate, A Self-Instructional Package from the Committee on Continuing Education in Otolaryngology, AAOHNS Foundation, 1983
1189) C Bardach
Schuller D. E., Krause C. J.: Cleft lip and Palate, A Self-Instructional Package from the Committee on Continuing Education in Otolaryngology, AAOHNS Foundation, 1983
1190) C Bardach Schuller D. E., Krause C. J.: Cleft lip and Palate, A Self-Instructional Package from the Committee on Continuing Education in Otolaryngology, AAOHNS Foundation, 1983
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Updated: August 5, 2017
2 comments:
For question 1190, a triangle flap technique I believe should be Tennison-Randall, and not Bardach- I believe this is a source from an article on which the creator of the website is an author! Also, for question 1189, is the answer of Bardach palatoplasty correct for a wide cleft lip?
https://www.ncbi.nlm.nih.gov/books/NBK564326/
Dear reader: The reference presented is a booklet published in 1983 by the American Academy of Otolaryngology-Head and Neck Surgery Foundation, which in pages 35-36 explained the Bardach repair of unilateral cleft lip deformity. Dr. Bardach repair of a cleft lip is based on two equilateral triangular flaps placed at the top and the bottom of the lip in order to distribute the tension throughout the entire lip length. The Tennison-Randall repair is similar to the Bardach repair. The difference is that a single equilateral triangle is transposed ( Tennison-Randall) instead of two smaller triagular flaps (Bardach). Dr. Janusz Bardach described his method of repair unilateral cleft lip in his book: Surgical Techniques in Cleft Lip and Palate, Bardach J., Salyer K. E., Second Edition, Mosby Tear Book, 1991, pp. 24-29 Thank you for your email and constructive comment.
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