1541-1550 MCQ in Facial Plastic and Reconstructive Surgery

 1541-1550

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Updated: September 26, 2022 

1541) Which of the following statements regarding the management of a non-comminuted mandibular Angle Fracture is TRUE?

A. Conservative management with soft diet.
B. Conservative management with soft diet and maxillomandibular fixation.

C. Transosseous wiring with maxillomandibular fixation.

D. Monocortical plate placed along a Champy's line
E. Compressive dynamic plating on the lateral side of the body of the mandibule.

1542) Which of the following statements is a CONTRAINDICATION for the use of a single noncompression plate at the superior border of a Champy line in the angle of a mandibular fracture?

A. Comminuted fracture
B. Tooth in the fracture line
C. Unfavorable fracture

D. Asociated with a secondary fracture at parasymphisis/symphisis

E. The presence of impacted third molar           

1543) In the combined skin-muscle upper eyelid blepharoplasty the recommended MAXIMAL resection of muscle to avoid complicatios is DO NOT EXCEED 

A.   9 mm

B. 10 mm
C. 11 mm

D. 12 mm
E. 13 mm

1544) Which of the following rhinoplastic techniques will decrease tip projection?

A. Columellar strut
B. Cephalic trim

C. Transdomal suture
D. Interdomal suture
E.  Medial crural suture

1545) Which of the following statements used in the reconstruction of cutaneous defects involving the nasal tip is NOT recommended?

A. Split-Thickness Skin Graft (STSG)

B. Full-Thickness Skin Graft FTSG)

C. Bilobe Flap
D. Interpolated Paramedian Forehead Flap
E. Adjacent Tissue Transfer (ATT)

1546) Which of the following value is the distance (X) in cm represented in the drawing  from the foramen (black arrow) to  the lacrimal crest?

Left orbit

A. 10 cm

B. 15 cm 
C. 20 cm

D. 25 cm 

E. 30 cm

.
1547) Which of statements related to the Hemangiomas is FALSE??

 

A. Absent or small at birth.
B. Usually develop after birth.

C. Are more common in female than male 
D. The growth pattern usually is proliferation, plateau and involution. 
E. Laser treatment is safe, effective and well established.

1548) Which of statements related to the Port Wine Stains is FALSE?

A. Present at birth.

B. Grow in proportion of the child's growth.

C. Slow growth throughout lifetime, without regression or ulceration.

D. All patients will require treatment.

E. 532-nm KTP laser is the standard laser care.

1549) Which of the following statements regarding the Island Rotation Flap for Nasal Reconstruction is FALSE?

A. The pedicle is based on the superior alar branch of the lateral nasal artery.

B. It is ideal for defects smaller than 2 cm in diameter.
C. The flap width is designed 50% greater than the defect diameter.

D. The plane of dissection is submuscular, supraperiosteal/perichondrial.

E. A high percent of patients will require a second procedure.

1550) Which of the following management is considered the "gold standard" for prevention and  treatment of hypertrophic scars and keloids?

A. Pressure/compression therapy.

B. Massage therapy.
C. Silicone sheets and gels.

D. Intralesional corticosteroid injection

E) Imiquimod 5% cream.

ANSWERS & REFERENCES


1541) D     Monocortical plate placed along a Champy's line.

Standford-Moore G., Murr A.H.: Mandibular Angle Fractures, in Modern Approaches to Facial and Athletic Injuries, Facial Plastic Surgery Clinic N. America, 30 (2022), pp. 109-116

1542) A     Comminuted fracture

Braasch D.C., Abubaker A. O.: Management of Mandibular Angle Fracture, Oral Maxillofacial Surgery Clinic North America 2013; 25 (4):591-600

1543) A     9 mm

Kiang L., Deptula P., Mazhar M., Murariy D., Don Parsa F.: Muscle-Sparing Blepharoplasty: A Prospective Left-Right Comparitive Study, Arch Plastic Surgery. 2014; 41 (5): 576-583

1544) B    Cephalic trim

 

Ghavami A., Janis J.E., Acikel C., Rohrich R.J.: Tip Shaping in Primary Rhinoplasty: An Algorithmic Approch, Plastic Reconstructive Surgery., 2008;122 (4): 1229-1241

1545) A.   Split-Thickness Skin Graft (STSG)

 Collar R. M., Ward P.D., Baker S. R.: Reconstructive Perspectives of Cutaneous Defects Involving 
the Nasal Tip, Arch. Facial Plastic Surg. 2011; 13 (2); 91-96

1546) D    25 cm 

Flynn J.: Approach to Orbital Fractures After Athletic Injuries, in Modern Approaches to Facial and Athletic Injuries, Facial Plastic Surgery Clinic N. America, 30 (2022), pp. 31-45

1547) E     Laser treatment is safe, effective and well established.

Stier M.F., Glick S. A., Hirsh R. J.: Laser treatment of pediatric vascular lesions: Port wine stains and hemangiomas, J. A. Acad. Dermatology 2008; 58: 261-285

1548) E      532-nm KTP laser is the standard laser care.

Stier M.F., Glick S. A., Hirsh R. J.: Laser treatment of pediatric vascular lesions: Port wine stains and hemangiomas, J. A. Acad. Dermatology 2008; 58: 261-285

1449) E     A high percent of patients will require a second procedure.

Siddiqui A., Ditmars Jr. D. M.: Island Rotation Flap for Nasal Reconstruction, Plastic Reconstructive Surgery, 2005; 116: 1604-1609

1550) C.     Silicone sheets and gels.

Monstrey S., Middelkoop E., Vranckx J.J., Bassetto F., Ziegler U. E., Meaume S.: Updated Scar Management Practical Guidelines: Non-invasive and invasive measures, Journal of Plastic, Reconstructive & Aesthetic Surgery (2014) 67, 1017-1025

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Updated: September 26, 2022