1421-1430 MCQ's Facial Plastic and Reconstructive Surgery

1421-1430
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Updated: June 15, 2019

1421) Which of the following statements in digital facial photography is FALSE?

A. Use a solid black background
B. Patient should not use makeup
C. The patient hair should be pulled back
D. Do not use jewelry, necklaces, earrings
E. Use a surgical gown

1422) Which of the following statements regarding the Fraxel Laser Rejuvenation is FALSE?

A. It is a nonablative fractional laser
B. It is highly absorbed by water
C. Multiple treatments are usually not necessary
D. It is safe for treatment of darker skin individuals.
E. Its thermal injury is based on multiple microscopic columns of injury (microthermal zones)

1423) Which of the following statements regarding the Facial Analysis in the East Asian Patient is FALSE?

A. Asian patients have a persistant epicanthal fold.
B. Asian patients have a double upper eyelid fold in approximately 50%
C. Asian patients have a flared ala
D. Asian patients have a nasal dorsum shallow, and wide.
E. Asian patients have a nasal aperture with a vertically ellipsoid orientation

1424) Which of the following statements is FALSE regarding the Butterfly Graft used to treat nasal obstruction?

A. It uses auricular cartilage
B. It used to increase the angle of the upper lateral cartilages, the septum and the turbinate.
C. It is placed over the caudal portion of the upper lateral cartilages
D. It is placed under the cephalic margin of the lower lateral cartilage
E. It has approximately 90% of acceptable cosmetic/visibility results.

1425) Which of the following free flaps will require preoperative vascular studies?

A. Fibula
B. Jejunal
C. Rectus
D. Gastroomental
E. Anterolateral thigh

1426) Which of the following statements regarding the drawing below is TRUE?

A. It is a transposition flap.
B. It is elevated in the subperiosteal plane.
C. It is necessary two-stage reconstruction.
D. It is the best for nasal defects measuring greater than 3 cm.
E. It can be associated with nasal tip rotation/alar retraction for distal nose defects.

1427) Which of the following statements regarding the Autologous Fat Transfer is FALSE?

A. Autologous Fat transfer can improve the facial aging process related to volume depletion.
B. Autologous Fat transfer can improved an ideal frame for the eye.
C. Autologous Fat transfer can recreate the facial triangle or heart shape of the youth.
D. Autologous Fat transfer is beneficial in all ethnicities
E. Autologous Fat transfer usually will have approximately 100% of take in fat grafted volume.

1428) Which of the following statements regarding the Submental Flap used in Head and Neck Reconstruction is TRUE?

A. It is a free flap
B. Its color match is poor
C. Its donor site can be closed primarily
D. It is used mainly in the upper third of the face (ipsilaterally)
E. Its survival rating is significantly lower compared to other flaps

1429) The "prickle layer" of the epidermis is related to

A. Stratum corneum
B. Stratum lucidum
C. Stratum granulosum
D. Stratum spinosum
E. Stratum basale

1430) Which of the following areas in the rhytidectomy operation  surgical staples can be used for skin closure?

A. Temporal incision
B. Preauricular incision
C. Tragal incision
D.  Earlobe incision
E. Postauricular (non-hair zone)

ANSWERS & REFERENCES


1421) A     Use a solid black background

Lee M. K., Most S. P.: Photography in Facial Plastic Surgery, chapter 9 in Facial Plastic and Reconstructive Surgery, ( Papel I.D.), Thieme, Fourth Edition, 2016, pp.86-96

1422) C      Multiple treatments are usually not necessary

Carniol P. J., Hamilton M. M., Harirchian S.: Ablative Laser Facial Skin Rejuvenation, chapter 20 in Facial Plastic and Reconstructive Surgery, ( Papel I.D.), Thieme, Fourth Edition, 2016, pp. 235-245

1423) E     Asian patients have a nasal aperture with a vertically ellipsoid orientation

Koch R. J., Hanasono M. M.: Aesthethic Facial Analysis, chapter 13 in Facial Plastic and Reconstructive Surgery, ( Papel I.D.), Thieme, Fourth Edition, 2016, pp. 129-138

1424) E     It has approximately 90% of acceptable cosmetic/visibility results.

Loyo M, Gerecci D, Mace JC, Barnes M, Liao S, Wang TD.: Modifications to the Butterfly Graft Used to Treat Nasal Obstruction and Assessment of Visibility. JAMA Facial Plast Surg. 2016 Dec 1;18(6):436-440.

1425) C      Fibula

Revenaugh P. C., Shipchandler T. Z. Burkey B. B.: Microvascular  and Regional Flaps in Head and Neck Reconstruction, chapter 51 in Facial Plastic and Reconstructive Surgery, ( Papel I.D.), Thieme, Fourth Edition, 2016, pp.650-677

1426) E      It is associated with nasal tip rotation/alar retraction for distal nose defects.

Desai S. C.: Facial Plastic and Reconstructive Surgery, Clinical Reference Guide, Plural Publishing, 2017, p.p. 395-396

Becker D. G.: Nasal Reconstruction, Facial Plastic Surgery Clinics of North America, Feb. 2011, Vol. 19, Number 1.

1427) A      Autologous Fat transfer usually will have approximately 100% of take in fat grafted volume.

Glasgold R. A., Lam S. M., Glasgold M. J.: Complementary Fat Grafting chapter 24 in Facial Plastic and Reconstructive Surgery, ( Papel I.D.), Thieme, Fourth Edition, 2016, pp. 281-293.

Krastev T., K., Beugels J., Hommes J., Piatkowski A., Mathijssen I., Hulst R.: Efficacy and Safety of Autologous Fat Transfer in Facial Reconstructive Surgery , A Systematic Review and Meta-analysis, JAMA Facial Plastic Surgery, 2018; 20 (5): PP. 351-360

1428) C     Its donor site can be closed primarily

Hayden R. E., Nagel T.H., Donald C. B.: Hybrid Submental Flaps for Reconstruction in the Head and Neck: Part Pedicled, Part Free, The Laryngoscope 124, March 2014, pp. 637-641

1429) D      Stratum spinosum

Leithauser L. A., Collar R. M., Ingraffea A.: Structure and Function of the Skin, chapter 1 in Facial Plastic and Reconstructive Surgery, ( Papel I.D.), Thieme, Fourth Edition, 2016, pp. 1-18.

Desai S. C.: Facial Plastic and Reconstructive Surgery, Clinical Reference Guide, Plural Publishing, 2017, p. 17

1430) A       Temporal incision

Perkins S. W., Waters H. H.:  Rhytidectomy, chapter 14 in Facial Plastic and Reconstructive Surgery, ( Papel I.D.), Thieme, Fourth Edition, 2016, pp. 139-158.


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Updated: June 15, 2019