1511-1520 MCQ's Facial Plastic and Reconstructive Surgery

1511-1520
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Updated: August 29, 2022 

1511) Which of the following laser system is NOT adequate for hair removal?

A. Ruby laser
B. Alexandrite laser
C. Diode laser
D. Nd:YAG laser

E. Argon laser

1512) Which is the MOST common indication for a non-surgical rhinoplasty?

A. Dorsal hump
B. Postsurgical correction
C. Drooping nasal tip
D. Lack of definition
E. Bulbous tip

1513) Which of the following site is  MOST likely related to blindness with the injection of Fillers?

A. Forehead
B. Glabella
C. Nose
D. Nasolabial fold
E. Upper lip

1514) Which of the following technique in "Dice Cartilage Augmentation"  induces a deleterious effect on the viability of the diced cartilage?

A. Diced cartilage wrapped in temporalis fascia
B. Diced cartilage wrapped in retroauricular fascia

C. Diced cartilage wrapped in rectus abdominis fascia.
D. Diced cartilage wrapped in Surgicel
E. Free bits of cartilage without wrapping

1515) The "diced cartilage" used in dorsal augmentation rhinoplasty  "Tasman Technique" is cut into small fragments of 

A. 0.5 mm. or smaller
B. 0.5 mm. to 1mm,
C. 1 mm to 2 mm,
D. 2 mm to 3 mm
E.  greater than 3 mm.

1516) Which of the following statements regarding the local flap design (8-9 cm in diameter/scalp defect) represented in the picture below is FALSE?

 

A. It is ideal for reconstruction of a large skin defects. eg. sclap

B. The skin defect is converted into an hexagon shape design.
C. Romboid flaps  have a  100 degree angles.

D. Wide undermining is performed and the flaps are transposed into the defect

E. This model is designed to avoid scar contracture and therefore, fewer revisions

.
1517) Which of the following cartilage diced technique used in rhinoplasty augmentation is most likely to reabsorption and clinical failure ?

A. Diced cartilage wrapped in temporalis fascia
B. Diced cartilage wrapped in retroauricular fascia

C. Diced cartilage wrapped in Alloderm
D. Diced cartilage wrapped in Surgicel
E. Free bits of cartilage without wrapping

1518) Which of the following facial fillers is most likely related to cause blindness?

A. Hyaluronic acid (HA)
B. Autologous fat
C. Collagen 
D. Polymethyl methacrylate
E. Calcium hydroxylapatite

1519) Which of the following statements in liquid Rhinoplasty is FALSE?

A. The deep columellar approach technique is the proper and safer for filler injection.
B. Deposit the filler in the supraperiosteal layer.
C. Deposit the filler in the supraperichondrial layer.
D. Deposit the filler under the fibromuscular layer.
E. Deposit the filler in the superficial fatty layer.

1520) Which of the following statements is FALSE regarding Alexandrite Laser?

A. The alexandrite laser produces a wavelength that is absorbed by the melanin of the hair shaft.
B. It cause thermal damage to the region of the follicular stem cells responsible for hair regrowth.
C.  It has a deeper depth of penetration compared to the Nd:YAG laser.

D. It causes discomfort, but not true pain

E. It can be used without anesthesia, even in children

ANSWERS & REFERENCES


1511) E     Argon Laser

Peng You, Rosenberg T. L., Yi-Chun Carol Liu: Utilization of Alexandrita Laser for Hair Removal in Pediatric Auricular Reconstruction in Otolaryngology-Head and Neck Surgery, Volume 167, No. 1, July 2022, pp. 203-205

1512) A      Dorsal hump

Harb, Ayad F.R.C.S.Plast.; Brewster, Colin T. M.Res., M.R.C.S.: The Nonsurgical Rhinoplasty: A Retrospective Review of 5000 Treatments, Plastic and Reconstructive Surgery:  March 2020 - Volume 145 -Issue 3, p. 661-667

1513) A     Glabella

Beleznay K., Carruthers J.D.A., Humphrey S.,  Jones D.: Avoiding and Treating Blindness from Fillers: A Review of the World Literature, Dermatology Surgery. 2015; 41 (10); pp. 1097-1117

1514) D    Diced cartilage wrapped in Surgicel

Shan R. Baker: Diced Cartilage Augmentation, Early Experience with the Tasman Technique, Arch. Facial Plastic Surgery, 14 (No. 6), Dec. 2012, pp. 5451-455

1515) A  0.5 mm. or smaller

Shan R. Baker: Diced Cartilage Augmentation, Early Experience with the Tasman Technique, Arch. Facial Plastic Surgery, 14 (No. 6), Dec. 2012, pp. 5451-455

1516) D     Romboid flaps  have a  100 degree angles.

Rohrich R., Plastic Surgery 2015: The Abstract Supplement, Plastic and Reconstructive Surgery, 136(4S):iii, October 2015

Jewett B.: Local Cutaneous Flaps and Grafts, Chapter 173 in Bailey's Head and Neck Surgery, (Johnson & Rosen, editors), Fifth Edition, 2014, pp. 2797-2823

1517) D     Diced cartilage wrapped in Surgicel

Rollin K Daniel 1, Jay W Calvert, Diced cartilage grafts in rhinoplasty surgery Plast Reconstr Surg
,2004 Jun;113(7):2156-2171.

1518) B      Autologous fat

Beleznay K., Carruthers J.D.A., Humphrey S.,  Jones D.: Avoiding and Treating Blindness from Fillers: A Review of the World Literature, Dermatology Surgery. 2015; 41 (10); pp. 1097-1117

1419) E      Deposit the filler in the superficial fatty layer

Magacho-Viera F. N., Alfertshofer M.G., Cotofana S.: The Deep Columellar Approach for Liquid Rhinoplasty -  A Case Series of 511 Procedures over 16 years, in Facial Plastic Surgery Clin N. Am. 30:2 (2022), pp.193-203

1520) C       It has a deeper depth of penetration compared to the Nd:YAG laser.

Peng You, Rosenberg T. L., Yi-Chun Carol Liu: Utilization of Alexandrita Laser for Hair Removal in Pediatric Auricular Reconstruction in Otolaryngology-Head and Neck Surgery, Volume 167, No. 1, July 2022, pp. 203-205


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Updated: August 29, 2022