MCQ's in Facial Plastic & Reconstructive Surgery

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Sunday, July 20, 2014

1271-1280 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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 1271) The frontal sinus adquires the ADULT size at

A. 2
B. 10
C. 15
D. 18

1272) Which of the following anatomical features related to the frontal sinus is FALSE?

A. The floor of the frontal sinus forms the medial portion of the orbital roof.
B. The posterior table forms a portion of the anterior cranial fossa.
C. The nasofrontal recess is the outflow tract of the frontal sinus.
D. The vascular supply to the frontal sinus is from arteries branches of the external carotid system.

1273) Frontal Sinus Fractures are ASSOCIATED with serious injuries in

A. 10%
B. 25%
C. 50%
D. 75%

1274) The BEST test to identify Cerebrospinal fluid (CSF) in a salty nasal and postnasal drainage is

A. "Halo test"
B. Beta-2 transferrin
C. Glucose test
D. Protein test
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 1275) Which of the facial statements related to a female proper FACIAL PROPORTIONS is FALSE?

A. Horizontal lines are drawn through the forehead hairline, the brows, tip of the nose and the lower margin
of the chin
B. The face should be five times the width of one eye.
C. The chin projection should be in line with the lower lip
D.The nasalabial angle ought to measure about 105 degrees.

1276) Which of following statements regarding the graft used in the picture is TRUE? (See drawing below)

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 A. It is a caudal septal graft.
B. It is placed in the anterior aspect of the columella.
C. It is used to decrease the columellar-labial angle.
D. It is used to create the appearance of nasal tip rotation.

1277) Which of the following statements related to rhinoplasty is FALSE?

A. Most of the septorhinoplasties can be performed under local anesthesia and IV sedation.
B. Uncomplicated septorhinoplasty usually take about 1 hour.
C. The nose is usually packed after septorhinoplasty.
D. The protective splint and nasal dressings are removed 7 days after surgery.

1278) Which of the following rhinoplasty post-operative statements is FALSE?

A. The protective splint and dressing are removed in one week.

B. 90% of the postoperative nasal swelling disappear by 7 days.
C. Make up can be used after 7 days.
D. A rhinoplasty final result is seen in 3 months.

1279) What is the proper time to see the rhinoplasty patient in his/her first postoperative clinic visit?

A. 24 hours
B. 48 hours
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 C. 3 days
D. 7 days

1280) Which of the following statements related to brow/ upper lid anatomy is FALSE?

A. The Muller muscle is innervated by the cranial nerve III.

B. The highest point of the brow is at the lateral limbus.
C The lateral cantus of eyelid is located 2 mm higher than the medial canthus.
D. The lacrimal sac drains into the nasal cavity as the nasolacrimal duct located in the inferior meatus.

ANSWERS & REFERENCES

1271) C 15

Brandley Strong E. : Frontal Sinus and Naso-Orbital-Ethmoid Complex Fractures, Facial Plastic and
Reconstructive Surgery (Papel I.D., editor), Thieme, 2009, pp.977-990

1272) D The vascular supply to the frontal sinus is from arteries branches of the external carotid
system.

Brandley Strong E. : Frontal Sinus and Naso-Orbital-Ethmoid Complex Fractures, Facial Plastic and
Reconstructive Surgery (Papel I.D., editor), Thieme, 2009, pp.977-990

1273) D 75%
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 Brandley Strong E. : Frontal Sinus and Naso-Orbital-Ethmoid Complex Fractures, Facial Plastic and
Reconstructive Surgery (Papel I.D., editor), Thieme, 2009, pp.977-990

1274) B Beta-2 transferrin

Brandley Strong E. : Frontal Sinus and Naso-Orbital-Ethmoid Complex Fractures, Facial Plastic and
Reconstructive Surgery (Papel I.D., editor), Thieme, 2009, pp.977-990

1275) A Horizontal lines are drawn through the forehead hairline, the brows, tip of the nose and the
lower margin of the chin

McCollough: Consultation, chapter 3 in Nasal Plastic Surgery, W. B. Saunders Co. , 1994, pp. 31-46

1276) D It is used to create the appearance of nasal tip rotation

Brenner M. J., Hilger P. A.: Grafting in Rhinoplasty, Facial Plastic Clinics of North America, Cosmetic
Rhinoplasty, Saunders, Feb. 2009, Vol. 17, No. 1, pp. 91-113

1277) C The nose is usually packed after septorhinoplasty

McCollough: Rhinoplasty: An Overview, chapter 5 in Nasal Plastic Surgery, W. B. Saunders Co. , 1994, pp. 55-
73

1278) D A rhinoplasty final result is seen in 3 months.

McCollough: Rhinoplasty: An Overview, chapter 5 in Nasal Plastic Surgery, W. B. Saunders Co. , 1994, pp. 55-
73
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 1279) D 7 days

McCollough: Rhinoplasty: Postoperative Instructions, chapter 6 in Nasal Plastic Surgery, W. B. Saunders Co. ,
1994, pp. 75-82

1280) A The Muller muscle is innervated by the cranial nerve III.

Branham G., Holds J. B.: Brow/Upper Lid Anatomy, Aging and Aesthetic Analysis, Facial Plastic Surgery Clinics
of North America, Midface and Periocular Rejuvenation, Vol. 23, No. 2. May 2005, pp.117-127

A.Riera/Otolaryngology-HNS at 7:29 PM

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