1501-1510 MCQ's Facial Plastic and Reconstructive Surgery

1501-1510
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Updated: January 18, 2021

1501) Which of the following statements is considered a contraindication for the use Hyperbaric Oxygen Therapy?

A. Eustachian tube dysfunction
B. Refractory osteomielitis
C. Unsuccesful flap take
D. Necrotizing soft tissue infection
E. Traumatic ischemic injury

1502) Which of the following mediums is the BEST to transport a traumatized avulsed tooth?

A. Whole milk (pasteurized)
B. Soaked with doxicicline
C. Saline
D. Saliva
E. Sterile water

1503) Which of the following regional tissue flaps is adequate even after the donor area of the flap has been irraditated?

A. Paramedian forehead flap
B. Tempoparietal flap
C. Temporal flap
D. Pectoralis major flap
E. Trapezius flap

1504) Which of the following regarding facial lines in scar revision is FALSE?

A. Relaxed skin tension lines are formed in the skin by the action of the underlying facial muscles.
B. Relaxed skin tension lines are perpendicular to the action of the underlying facial muscles.

C. Relaxed skin tension lines are ideal for incision incision placement but the Langer lines are not.
C. Langer lines are lines formed by the natural orientation of the collagen in the dermis
D. Langer lines are lines parallel to the underlying facial muscles.

1505) Which of the following statements regarding dermabrasion is FALSE?

A. Dermabrasion is contraindicated in patients who have used isotretinoin (Accutane).
B. Dermabrasion can be performed with local regional anesthesia and IV sedation.
C. The dermabrader should  be held a 90 degrees angle to the wheel rotation.
D. One facial unit should be treated at the time down to the reticular dermis.
E. Reepithelization should occur in approximately 7 days.

1506) Which of the following statements regarding the reconstructive palate is FALSE? (see drawing below)

A. This is a Veau-Wardill-Kilner technique
B. It is based with a V-Y advancement flaps
C. Both palatal flaps are retro-positioned
D. Palate bone is occasionally exposed bilaterally
E. There is an increase in the length of the palate

1507) Which of the following rhinoplasty incisions is related to an incision at the caudal end of the lower lateral cartilage?

A. Hemi-transfixion
B. Complete transfixion
C. Transcartilaginous
D. Intercartilaginous
E. Infracartilaginous

1508) Which of the following statements regarding chemical peeling is FALSE?

A. Superficial chemical peeling penetrates to the papillary dermis.
B. Alpha-hydroxy acids can improve the histologic signs of photo-damage.
C. The use of antivirals medications are required with chemical peeling.
D. Fine rhytids can be improved with superficial peeling.
E. Trichloroacetic acid 10-40% can be used as a superficial peeling agent.

1509) Which of the following statements regarding the platysma muscle is FALSE?

A. It has its origin overlying the pectoralis and deltoid muscles.
B. Its central fibers insert into the periosteum of the mandible.
C. Its posterior fibers combine with the depressor anguli oris, mentalis, risorius and orbicularis.
D. It has a continuity with the superficial musculoaponeurotic system (SMAS).
E. Type III platysma has no decussation fibers.


1510) Which of the following statements regarding nasal tip bossae is TRUE?

A. The incidence of bossae is approximately 10% of primary rhinoplasties
B. The initial presentation is more commonly noted after the first year of the operation
C. Intralobular bifidity is not considered a predisposing factor for bossae
D. Thin skin is rarely associated with bossae

E.  The presence of strong lateral cartilages is commonly associated with bossae

ANSWERS & REFERENCES



1501) A     Eustachian tube dysfunction

Moubayed S. P., Mourad M. W., Riera March A. Facial Plastic & Reconstructive Surgery, Concepts, Questions, Answers, chapter 1 in Basic Techniques , Jaypee Brothers Medical Publishers, 2020, pp. 3-9

1502) A     Whole milk (pasteurized)

https://emedicine.medscape.com/article/763291-treatment

1503) D       Pectoralis major flap

Moubayed S. P., Mourad M. W., Riera March A. Facial Plastic & Reconstructive Surgery, Concepts, Questions, Answers, chapter 24 in Regional Tissue Transfer for Head and Neck Reconstruction, Jaypee Brothers Medical Publishers, 2020, pp.210-216

1504) C      Relaxed skin tension lines are ideal for incision incision placement but the Langer lines are not.

Moubayed S. P., Mourad M. W., Riera March A. Facial Plastic & Reconstructive Surgery, Concepts, Questions, Answers, chapter 16 in Scar Revision and Dermabrasion, Jaypee Brothers Medical Publishers, 2020, pp. 130-137

1505) D      One facial unit should be treated at the time down to the reticular dermis.
                                                                     
Moubayed S. P., Mourad M. W., Riera March A. Facial Plastic & Reconstructive Surgery, Concepts, Questions, Answers, chapter 14 in Liposuction, Jaypee Brothers Medical Publishers, 2020, pp. 107-112

1506) B      Palate bone is occasionally exposed bilaterally

Moubayed S. P., Mourad M. W., Riera March A.  Facial Plastic & Reconstructive Surgery, Concepts, Questions, Answers, chapter 28 in Cleft Lip and Palate , Jaypee Brothers Medical Publishers, 2020, pp. 257-269

1507) E     Infracartilaginous

 https://medicine.uiowa.edu/iowaprotocols/rhinoplasty

1508) E     Trichloroacetic acid 10-40% can be used as a superficial peeling agent.

Moubayed S. P., Mourad M. W., Riera March A. Facial Plastic & Reconstructive Surgery, Concepts, Questions, Answers, chapter 19 in Chemical Peels, Jaupee Brothers Medical Publishers, 2020, pp. 162-166

1509) E      Type III platysma has no decussation fibers.

Moubayed S. P., Mourad M. W., Riera March A. Facial Plastic & Reconstructive Surgery, Concepts, Questions, Answers, chapter 14 in Liposuction, Jaypee Brothers Medical Publishers, 2020, pp. 107-112

1510) E       The presence of strong lateral cartilages is commonly associated with bossae

https://emedicine.medscape.com/article/841152-overview#a9

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Updated: January 18, 2021