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MCQ's in Facial Plastic & Reconstructive Surgery

This blog is a learning tool for anyone who has a need or desire to acquire theoretical Facial Plastic and
Reconstructive knowledge.I hope you enjoy your stay here! © A. Riera March,MD [2003-2016].This blog
material can be used solely for nonprofit, educational purposes. The commercial use of this material, including
its publication without express written consent of this site’s author is strictly prohibited.

Fr id ay, Ju ly 18, 2014

1261-1270 MCQ in Facial Plastic and Reconstructive Surgery

Starting with question No. 1251 each exam item will have 4 possible answers and one of them will be correct. This change has
occurred for two reasons:

1) Otolaryngology and Facial Plastic qualifying examinations have changed to this format.
2) This format will facilitate the creation of new items without sacrificing learning power.

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1261) In tissue expanders, THE GAIN in skin surface area when a constant load is applied IS RELATED to

A. Viscoelasticity
B. Creep
C. Extensibility
D. Stress relaxation

1262) Which of the following statement regarding BIOLOGIC CREEP is FALSE?

A. It involves an overall increase in mitotic activity.


B. It involves a displacement of fluids and the collagen fibers are realign.
C. It involves an increase in surface area.
D. It involves permanent changes in the microanatomy of tissue

1263) Which of the following terminology is related to "a decrease in the amount of force necessary to
maintain a fixed amount of skin stretch over time"

A. Viscoelasticity
B. Creep
C. Extensibility
D. Stress relaxation

1264) Which of the following anatomical areas is the BEST place for the application of tissue expansion?

A. Nose
B. Cheek
C. Forehead
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D. Neck

1265) Which of the following shape in tissue expander is the ONE to achieve the MOST GAIN in the tissue
surface area?

A. Square
B. Circular
C. Rectangular
D. Crescent

1266) Which of following statements is TRUE regarding the INCISION/APPROACH represented in the picture
(See drawing below)

A. It is a transcartilaginous incision
B. It is used as a delivery approach
B. It is commonly used in nasal dome division
C. It is an ideal incision/approach to treat major nasal tip bulbosity

1267) Which of the following statements regarding tissue expanders is FALSE?


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A. It is indicated in the treatment of male pattern baldness.
B. It is indicated in the management of a forehead giant melanocytic nevi.
C. It is indicated in the reconstruction of the auricular microtia
D. It is not indicated in previously irradiated areas

1268) Which of following stages in tissue expansion is FALSE?

A. Insertion
B. Progressive stages of expansion
C. Progressive stages of deflation
D. Removal with simultaneous reconstruction

1269) Which of the following statements regarding tissue expanders is TRUE?

A. Tissue expanders are made of silicone.


B. The base of the expander should be equal to 1 time the size area to be reconstructed.
C. The circular expanders provide the largest gain in surface area.
D. The tissue expanders are available in two shapes: circular and rectangular

1270) In the use of the tissue expanders the initial date to fill the implant should be

A. At least 3 weeks after placement


B. At least 4 weeks after placement
C At least 6 weeks after placement
D. At least 8 weeks after placement

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ANSWERS & REFERENCES

1261) B Creep

Hoffmann J. F.: Tissue Expansion in Reconstruction of the Head and Neck, chapter 55 Facial Plastic and
Reconstructive Surgery (Papel I.D., editor), Thieme, 2009, pp.745-756

Liang J., Sykes J. M.: Tissue Expanders, chapter 175, Head and Neck Otolaryngology (Bailey, editor), 2014,
pp.:2849-2857

1262) B It involves a displacement of fluids and the collagen fibers are realign.

Hoffmann J. F.: Tissue Expansion in Reconstruction of the Head and Neck, chapter 55 Facial Plastic and
Reconstructive Surgery (Papel I.D., editor), Thieme, 2009, pp.745-756

Liang J., Sykes J. M.: Tissue Expanders, chapter 175, Head and Neck Otolaryngology (Bailey, editor), 2014,
pp.:2849-2857

1263) D Stress relaxation

Hoffmann J. F.: Tissue Expansion in Reconstruction of the Head and Neck, chapter 55 Facial Plastic and
Reconstructive Surgery (Papel I.D., editor), Thieme, 2009, pp.745-756

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Liang J., Sykes J. M.: Tissue Expanders, chapter 175, Head and Neck Otolaryngology (Bailey, editor), 2014,
pp.:2849-2857

1264) D Forehead

Hoffmann J. F.: Tissue Expansion in Reconstruction of the Head and Neck, chapter 55 Facial Plastic and
Reconstructive Surgery (Papel I.D., editor), Thieme, 2009, pp.745-756

Liang J., Sykes J. M.: Tissue Expanders, chapter 175, Head and Neck Otolaryngology (Bailey, editor), 2014,
pp.:2849-2857

1265) C Rectangular

Hoffmann J. F.: Tissue Expansion in Reconstruction of the Head and Neck, chapter 55 Facial Plastic and
Reconstructive Surgery (Papel I.D., editor), Thieme, 2009, pp.745-756

Liang J., Sykes J. M.: Tissue Expanders, chapter 175, Head and Neck Otolaryngology (Bailey, editor), 2014,
pp.:2849-2857

1266) A It is a transcartilaginous incision

Tardy Jr. M. E., Toriumi D. M., Hecht D. A.:Philosophy and Principles of Rhinoplasty, chapter 40 Facial Plastic
and Reconstructive Surgery (Papel I.D., editor), Thieme, 2009, pp.507-528

1267) D It is not indicated in previously irradiated areas


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Hoffmann J. F.: Tissue Expansion in Reconstruction of the Head and Neck, chapter 55 Facial Plastic and
Reconstructive Surgery (Papel I.D., editor), Thieme, 2009, pp.745-756

Liang J., Sykes J. M.: Tissue Expanders, chapter 175, Head and Neck Otolaryngology (Bailey, editor), 2014,
pp.:2849-2857

1268) C Progressive stages of deflation.

Hoffmann J. F.: Tissue Expansion in Reconstruction of the Head and Neck, chapter 55 Facial Plastic and
Reconstructive Surgery (Papel I.D., editor), Thieme, 2009, pp.745-756

Liang J., Sykes J. M.: Tissue Expanders, chapter 175, Head and Neck Otolaryngology (Bailey, editor), 2014,
pp.:2849-2857

1269) A Tissue expanders are made of silicone.

Hoffmann J. F.: Tissue Expansion in Reconstruction of the Head and Neck, chapter 55 Facial Plastic and
Reconstructive Surgery (Papel I.D., editor), Thieme, 2009, pp.745-756

Liang J., Sykes J. M.: Tissue Expanders, chapter 175, Head and Neck Otolaryngology (Bailey, editor), 2014,
pp.:2849-2857

1270) A At least 3 weeks after placement

Hoffmann J. F.: Tissue Expansion in Reconstruction of the Head and Neck, chapter 55 Facial Plastic and
open in browser PRO version Are you a developer? Try out the HTML to PDF API pdfcrowd.com
Reconstructive Surgery (Papel I.D., editor), Thieme, 2009, pp.745-756

Liang J., Sykes J. M.: Tissue Expanders, chapter 175, Head and Neck Otolaryngology (Bailey, editor), 2014,
pp.:2849-2857

A.Riera/Otolaryngology-HNS at 4:49 PM

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