MCQ's in Facial Plastic & Reconstructive Surgery

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T u e s d a y , No v e m b e r 5 , 2 0 1 3

1251-1260 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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 1251) Which of the following percentage of the hair cycle is in the ANAGEN phase?

A. 10%
B. 50%
C. 70%
D. 90%

1252) Which of the following statements regarding hair patho-physiology is FALSE?

A. The hair cycle has three phases: anagen, catagen and telogen
B. Approximately 5% of the hair follicles are in the catagen phase
C. Most of the hair loss conditions are due to the hereditary male pattern baldness
D. The follicular unit transplantation is the gold standard in surgical hair transplantation

1253) Which of the following is NOT a typical characteristic of the Asian Nose?

A. Tip: bulbous, poor defined, underprojected

B. Ala: flared with a short columella
C. Skin: Thin
D. Nasal septum: small anterior nasal spine

1254) Which of the following statements regarding Hair Restoration is FALSE?

A. Hair loss although progressive is always predictable at any age.

B. Do not make the hairline too low (higher better than lower).
C. The frontal temporal angle lies on the lateral epicanthal line as hair loss progresses.
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 D. The frontal hairline consists of micro-irregularity and macro-irregularity.

1255) Which of the following scalp zones is ideal for scalp reduction?

A. Crown
B. Mid-scalp
C. Occipital scalp
D. Temporal scalp

1256) What is the proper classification of the cleft palate presented? (See drawing below)

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 A. Bilateral complete cleft of the secondary palate.
B. Bilateral complete cleft of the primary and secondary palate
C. Bilateral incomplete cleft of the primary palate
D. Bilateral incomplete cleft of the secondary palate

1257) Which of the following statements is considered a drawback in the use of a single-stage melolabial flap
for nasal alar reconstruction?

A. Trap-door deformity
B. Necrosis
C. Dehiscence
D. Stenosis

1258) Which of the following cutaneous lasers is the BEST in the removal of GREEN tattoo pigments?

A. Q-switched Ruby (694 nm) Laser.

B. Alexandrite (755 nm) Laser
C. Nd:YAG (1064 nm) Laser.
D. Pulse dye (585-595 nm) Laser.

1259) Which of the following alopecia areas is ideal for the use of scalp flaps?

A. Crown
B. Frontal
C. Occipital scalp
D. Temporal scalp
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 1260) What is the percentage of hair loss necessary before alopecia becomes noticeable?

A. 20%
B 30%
C. 50%
D. 60%

ANSWERS & REFERENCES

1251) D 90%

Ende K. H., Kabaker S.S.: Hair Restoration: Medical and Surgical Techniques, chapter 26 in Cummings
Otolaryngology-Head and Neck Surgery, Fifth Edition, Volume one, 2010, pp. 371-389

1252) B Approximately 5% of the hair follicles are in the catagen phase

Ende K. H., Kabaker S.S.: Hair Restoration: Medical and Surgical Techniques, chapter 26 in Cummings
Otolaryngology-Head and Neck Surgery, Fifth Edition, Volume one, 2010, pp. 371-389

1253) C Skin: Thin

Park S. S., Jin H.: Noncaucasian Rhinoplasty, chapter 38 in Cummings Otolaryngology-Head and Neck Surgery,
Fifth Edition, Volume one, 2010, pp. 568-579
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 1254) A Hair loss although progressive is always predictable at any age.

Shapiro R., Shapiro P.: Hairline Design and Frontal Hairline Restoration, Facial Plastic Surgery Clinics of North
America, Hair Restoration (Konior and Gabel, editors), August 2013, Vol. 21, No. 3, pp. 351-362

1255) A Crown

Devroye J.: Management of the Crown, , Facial Plastic Surgery Clinics of North America, Hair Restoration
(Konior and Gabel, editors), August 2013, Vol. 21, No. 3, pp. 397-406

Rousso D. E., Sule S., Whitworth J. M.: Hair Replacement Techniques, Chapter 33 in Facial Plastic and
Reconstructive Surgery, (Papel I., editor), Third Edition, Thieme, 2009, pp. 409-420

1256) B Bilateral complete cleft of the primary and secondary palate

Smith H.W.: Comprehensive Surgical Atlases in Otolaryngology-Head and Neck Surgery, the Atlas of Cleft lip
and Cleft palate surgery (K.J. Lee, editor-in-chief), 1983, pp. 131-142

1257) A Trap-door deformity

Eskiizmir G. , Baker S., Cingi C.: Nonmelanoma Skin Cancer of the Head and Neck, (Thomas J. R, editor),
Facial Plastic Surgery Clinics of North America, Nov. 2012, Vol. 20, No. 4, pp. 493-513

1258) A Q-switched Ruby (694 nm) Laser

Fedok F. G., Carritano F., Portela A.: Cutaneous Lasers (Thomas J. R, editor), Facial Plastic Surgery Clinics of
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 North America, Feb. 2013, Vol. 21, No. 1, pp. 95-110

1259) B Frontal

Rousso D. E., Sule S., Whitworth J. M.: Hair Replacement Techniques, Chapter 33 in Facial Plastic and
Reconstructive Surgery, (Papel I., editor), Third Edition, Thieme, 2009, pp. 409-420

1260) C 50%

Ende K. H., Kabaker S.S.: Hair Restoration: Medical and Surgical Techniques, chapter 26 in Cummings
Otolaryngology-Head and Neck Surgery, Fifth Edition, Volume one, 2010, pp. -371-389

A.Riera/Otolaryngology-HNS at 6:49 PM

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