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WorksheetsBailey's plastic
Total questions: 151
Worksheet time: 1hrs 16mins
What is the name of the area where the septum articulates with the nasal bones?
Bridge
Keystone
Fixter
Crest
Base
Where is the hyoid bone ideally located?
Where is the hyoid bone ideally located?
High and anterior in the neck
At the level of third and fourth cervical vertebrae
Low and posterior in the neck
Which of the following is true regarding nasofrontal angle (NFA) ?
Women tend to have a more acute NFA.The vertex should lie at a position in line with the superior limbus.
Women tend to have a more acute NFA.
Surgical raising of the position of the sellion superiorly will shorten the length of the
nose
All of the above.
A reconstructive surgeon plans on using a tissue expander for the scalp. What is the
ideal layer of placement of the tissue expander?
Within the skin, between the epidermis and the dermis
Between the skin and the subcutaneous tissue
Between the subcutaneous tissue and the galea aponeurosis
Between the galea aponeurosis and the pericranium
Between the pericranium and the cranium
What is an absolute contraindication to performing chemical peels?
History of hypertrophic scarring or keloid formation
Active smoker
History of cutaneous radiation exposure
Isotretinoin use within the past 6 months
Which of the following is the best lighting option for office photography?
Fluorescent office lights with on-camera fill flash
Ambient light from office window
On-camera ring flash
Dual studio lights with soft box
The correction of microtia/atresia should begin with:
Skin graft to ear with removal of microtic vestige
Correction of the atresia by an otolaryngologist
Combined procedure in conjunction with the otologist
Autogenous cartilage harvest with framework creation
Wait until the child is 18 years of age to decide for himself or herself
Which of the following anatomical features predisposes a rhinoplasty patient to
postoperative nasal airway obstruction?
Long nasal bones
Wide upper cartilaginous vault
Convex contour of the lower lateral cartilages
Cephalically positioned lateral crura
Which of the following statements best describes the pogonion?
It is used to calculate the lower face-throat and mentocervical angle.
It is the anterior-most aspect of the chin.
It should approximate the zero meridian in men.
All of the above.
Structural cartilage grafts are needed to:
Prevent collapse and airway obstruction
Resist cephalic alar retraction
Provide projection to the tip
All the above
Following Sunderland level IV injury, spontaneous recovery is generally:
Fair
Not possible
Modest
Poor
The principle of aesthetic subunits serve to:
Improve scar camouflage
Assist with excision of cutaneous malignancies
Guide the placement of structural batten grafts
Dictate the indication of Mobs surgery
Which of the following three facial mimetic muscles make the exception and run deep
to the course of the facial nerve?
Zygomaticus major, zygomaticus minor, and buccinator
Buccinator, mentalis, and levator labii superioris
Masseter, mentalis, and buccinator
Levator anguli oris, mentalis, and buccinator
Masseter, mentalis, and orbicularis ocul
In selecting the proper implant for a patient's defect or deformity, which of the following
is the most important consideration?
Size of the defect
Patient skin type
Resistance to deformation
Ease of implantation
Tissue biocompatibility
The nasofacial angle is the angle formed by the intersection of:
line drawn from the nasion through the nasal tip-defining point and a second line
drawn from the nasion through the alar-facial junction
A line drawn from the nasion through the subnasale and a second line drawn from the
nasion through the nasal tip-defining poin
A line drawn from the nasion through the nasal tip-defining point and a second
line drawn from the glabella through the pogonion
A line drawn from the glabella through the nasal tip and a second line drawn from the
glabella through the subnasale
Transverse chin asymmetry is often associated with:
Treacher Collins syndrome
Pierre Robin sequence
Van der Woude syndrome
Oculoauricular vertebral (OAV) spectrum
Which of the following statements explains how the antihelix can be created?
Securing folded helical cartilage with Mustarde-type horizontal mattress sutures
Scoring the helical cartilage anteriorly
Removing thin strips of helical cartilage from a posterior approach
All of the above
A caudally positioned radix (low-radix disproportion) will have which of these effects?
Making the nasofacial angle more acute and thereby making the nasal tip look relatively
overprojecte
Making the nasofacial angle more obtuse and thereby making the nasal tip look
relatively underprojected
Making the nasofacial angle more acute and thereby making the nasal tip look relatively
underprojected
Making the nasofacial angle more obtuse and thereby making the nasal tip look
relatively overprojected
If a cutaneous reaction with erythema, vesicle formation, and exudates forms specifically
on all areas treated with the topical ointment being used for wound care, the
patient should initially:
Stop the topical ointment
Apply more ointment
Apply ointment and steroid cream
Apply vaseline and moisturizer
Which of the following facial anatomic locations is most amenable to healing by
secondary intention?
Temple
medial canthus
Both A and B
None of the above
Which of the following single-lens reflex (SLR) lens choices is most appropriate for
60-mm macro
105-mm macro
35-mm fixed
24- to 120-mm zoom
Which of the following is not a major tip-support mechanism?
Length and strength of the lower lateral cartilages
Attachment of medial crura to caudal septum
Nasal spine
Attachment of the cephalic margin of the lateral crura to the caudal margin of the
upper lateral cartilage
A small or posteriorly positioned mandible is referred to as:
�icrogenia
Prognathia
Retrognathia
Class II malocclusion
Which is true regarding the fat pads of the upper eyelid?
The lateral fat pad is deeper than the medial fat pad.
aggressive removal of the central fat pad always improves aesthetic outcomes.
The fat pads are deep to the orbital septum.
Reflection of the levator aponeurosis exposes the underlying fat pads.
Which is true regarding the fat pads of the upper eyelid?
The lateral fat pad is deeper than the medial fat pad.
aggressive removal of the central fat pad always improves aesthetic outcomes.
The fat pads are deep to the orbital septum.
Reflection of the levator aponeurosis exposes the underlying fat pads.
Which is true regarding the fat pads of the upper eyelid?
The lateral fat pad is deeper than the medial fat pad.
Aggressive removal of the central fat pad always improves aesthetic outcomes.
The fat pads are deep to the orbital septum.
Reflection of the levator aponeurosis exposes the underlying fat pads.
Recovery of function after treatment with botulinum toxin involves:
Development of new axonal collaterals
Formation of temporary axonal collaterals followed by recovery of transmission
through the primary nerve terminal
Recovery of neural transmission through the original nerve terminal
Regeneration of acetylcholine within the presynaptic nerve terminal
Which of the following statements about complications after otoplasty is false?
Telephone-ear deformity can result from failure to correct a prominent, laterally dis-
placed helical root and lobule.
Infection is the most common complication.
Skin necrosis is a rare complication.
Worsening pain after postoperative day 3 suggests infection.
Dermabrasion techniques resurface the skin until punctate bleeding is appreciated.
This corresponds to what depth of skin?
Directly subdermal
Reticular dermi
Papillary dermis
Subcutaneous tissue
How is microgenia best managed?
Osteotomy and bony advancement
Suprahyoid myotomy
Orthognathic surgery to correct malocclusion
Alloplastic augmentation
Which of the following structures separates the medial and central fat pads of the
lower eyelid?
Lateral rectus muscle
Nasolacrimal canal
inferior oblique muscle
Inferior rectus muscle
Infraorbital nerve
Where is the cartilage growth center in the nasal septum?
Perichondrium of anterior bony septum
Maxillary crest
Keystone area
Nasal tip
What is the amount of skin that should be preserved between the brow and the upper
eyelid margin after upper eyelid blepharoplasty?
1 5 mm
20 mm
25 mm
30 mm
Which of the following techniques has been shown to reduce an implant's preplacement
bacterial load?
Immersion in antibiotic solution
Irrigation with povidone-iodine (Betadine)
Suction infiltration of an antimicrobial solution
Preoperative intravenous antibiotic
The best technique for camouflaging a thin 5-cm straight scar that runs perpendicular
to the relaxed skin-tension lines along the cheek is:
Geometric broken-line closure
Serial Z-plasty
Fusiform excision
Dermabrasion
Patients who carry the diagnosis of depression can be described by which of the
following?
May safely undergo cosmetic surgery
Demonstrate improvement in the postoperative Beck Depression Inventory score following cosmetic surgery
May initially experience intensification of their depressive symptoms following cosmetic
surgery
All of the above
Which of the following is characteristic of hemangiomas?
Absence at birth
Increase in size with patient growth
Normal rate of endothelial cell growth
Lack of endothelial hyperplasia
What is most helpful in preventing postinflammatory hyperpigmentation following
resurfacing?
Pretreatment with topical tretinoin
Pretreatment with hydroquinone
Pretreatment and posttreatment with sunscreen and sun avoidance
All of the above
Lasers characteristically produce light which is:
Monochromatic
Pulsed
Collimated
Both A and B
Both A and C
Identify the dermal vascular apparatus regulated by the sympathetic nervous system:
Precapillary sphincter
Precapillary sphincter
Reticular vascular arcade
Papillary venous shunts
Which term best describes the stress-strain relationship for skin?
Linear
Parabolic
Infinite
Nonlinear
At what age does the ear reach nearly its full adult size?
3 years old
5 years old
7 years old
1 0 years old
Cartilage grafts are most likely needed for cutaneous defects involving:
A. Lower/lateral half of the nose, i.e., ala and sidewal
Nasal tip
Dorsal subunit
Not needed for skin-only defects as long as cartilage has not been sacrificed
In the facelift patient which of the following might increase the risk of hematoma formation
postoperatively?
Coughing
Uncontrolled blood pressure
Uncontrolled pain
Nausea and vomiting
Excessive movement of the head
The dominant cause of failure following free-tissue transfer for facial reanimation is:
Microvascular failure
Inadequate neural penetration
nadequate suture inset to atrophied modiolus
Incorrect vector of pull
Which of the following is true regarding the Juri flap for hair restoration?
The Juri flap is better utilized for crown coverage than for frontal hairline restoration.
The Juri flap can be harvested in one stage if the Doppler ultrasonography reveals a
strong arterial supply.
The Juri flap is pedicled off the occipital artery and the superficial temporal artery
(STA)
The Juri flap can provide excellent density to the frontal hairline, although the hairs
will be oriented posteriorly, resulting in an unnatural appearance.
A patient presenting for surgical evaluation demonstrates excessive concern with a
very subtle asymmetry of the nostrils. This is so troubling to her that she wears a mask
in public and is not able to maintain employment. This patient may be suffering from
Borderline personality disorder
Body dysmorphic disorder (BDD)
Narcissistic personality disorder
Histrionic personality disorder
Which of the following statements regarding tarsorrhaphy for the paralyzed eye is
most accurate?
It protects better than eyelid weight and lower lid tightening.
It yields the most aesthetically pleasing result.
It is technically more difficult to execute than other eyelid reanimation tehniques.
The revision rate is comparable to that of the eyelid spring procedure.
Stimulated emission of radiation occurs when:
Photons in a system strike atoms in the laser medium and raise an electron to a higher
energy level
An atom in the excited state reemits a photon and the electron returns to the lower
energy level
An atom in the higher energy state is struck by an additional photon with the emission
of two photons
Photons in a system strike atoms in the laser medium and lower an electron to a decreased
energy level
Which of the following incisions is necessary for a delivery approach to the nasal tip?
An intercartilaginous incision coupled with a transcolumellar incision
A marginal incision coupled with an intercartilaginous incision connecting to a full
transfixion incision
A retrograde incision coupled with a marginal incision connecting to a hemitransfixion
incision
A rim incision coupled with an intercartilaginous incision connecting to a full Killian
incision
Which nerve is most commonly injured during face-lifting?
Marginal mandibular branch of facial nerve
Frontal branch of facial nerve
Great auricular nerve
Lesser occipital nerve
Greater occipital nerve
According to the tripod model of nasal-tip dynamics, which of the following is false
Shortening the lateral crura increases tip rotation.
Shortening the medial crura decreases tip projection.
Increasing the length of the medial crura increases tip rotation.
Lengthening the medial crura and shortening the lateral crura decrease tip rotation
Solitary neurofibromas can develop and are not associated with any specific syndrome.
However, a patient with multiple neurofibromas or a plexiform neurofibroma should
be referred for workup of what syndrome?
von Recklinghausen
Peutz-Jeghers
Klippel-Trenaunay
Osler-Rendu-Weber
Cowden
The extracellular matrix is critical in binding cells to implants. Which of the following
is the most important element for this step in the extracellular matrix?
Triglycerides
Glycosaminoglycans
Amino acids
Polylactide
Polygalactide
What is an advantage of using a phenol-based solution over trichloroacetic acid (TCA)
for peels?
Lack of cardiac toxicity
Absence of need for sedation
Ease of assessing adequate depth of penetration
improved healing times
When utilized as a soft-tissue augmentation implant, human acellular dermis serves in
what capacity to fill a defect?
Scaffold for new tissue ingrowth
Stimulation for dermal thickening
Underlying bone formation
Permanent bulk in the defect
Neuromodulation
A 33-year-old woman visits her surgeon in consultation for rhinoplasty. Examination
reveals short nasal bones. What is she at particular risk of experiencing as a result of
undergoing rhinoplasty?
Nasal airway obstruction
Tip bossae
Saddle nose deformit
Open roof deformity
In performing a dorsal-hump reduction, the surgeon must take into account which of
the following variations in skin thickness along the dorsum of the nose?
In the upper third of the nose, the skin is thickest at the nasion and thinnest at the
rhinion.
n the upper third of the nose, the skin is thickest at the rhinion and thinnest at the nasion
In the upper third of the nose, the skin has the same thickness between the nasion and
the rhinion, then becomes progressively thicker toward the tip.
The skin is the thinnest at the tip.
Which of the following statements is true about rapid intraoperative tissue expansion?
It relies on biological creep.
A gain of 3 em of flap length can be achieved.
The expander is usually inflated and deflated once
There are minor physiologic and metabolic changes that occur at various levels of the skin.
It is more popular than conventional long-term tissue expansion.
he risk of bossae formation is increased in patients with:
Tip bifidity, thin skin, and strong lower lateral cartilages
tip bifidity, thick skin, and strong lower lateral cartilages
Tip bifidity, thin skin, and weak lower lateral cartilages
Tip bifidity, thick skin, and weak lower lateral cartilages
The most common smile pattern among humans is:
Full denture smile
Zygomaticus major smile
Canine smile
Risorius smile
the best donor site to obtain high-volume skin paddle in a patient with a low body
mass index (BMI) is:
Rectus
Latissumus dorsi
Anterolateral thigh
Lateral arm
Appropriate selection of a laser is most highly dependent upon:
Specific wavelength absorption of a given tissue
Coagulation temperature of a given tissue
Water content of a given tissue
Power density of the laser
Which of the following cells in the skin is the most sensitive to cold injury when using
liquid nitrogen for cryotherapy?
Keratinocyte
Melanocyte
Nerve
Merkel cell
Fibroblast
Chin augmentation with an alloplast implant commonly corrects
Transverse chin asymmetry
Horizontal chin deficiency
Vertical chin excess
A deep labiomental sulcus
A 23-year-old man with moderate alopecia of the frontal scalp and crown is seen in
consultation for surgical hair restoration. Which of the following statements is best
regarding the treatment of this patient?
urgical hair restoration should be directed first to the crown region of the scalp
since transplanting in this area will give the patient the best coverage with appropriate
styling.
Medical therapy is contraindicated in this patient because of his age.
Surgical hair restoration should be directed first to the frontal region of the scalp
since transplanting in this area will give the patient the best coverage with appropriate
styling.
One must be cautious in transplanting in this patient because of the risk and uncertainty
of future hair loss.
The "double-convexity" deformity is an indication for what procedure during
blepharoplasty?
Central fat-pad removal
Skin excision
Canthoplasty
Lower eyelid resurfacing
Fat transposition
Which of the following is true about complex revision rhinoplasty?
A failed rhinoplasty is likely to illicit anger and frustration in nearly all patients,
including well-adjusted individuals
Revision rhinoplasty patients often display a surprising familiarity with rhinoplasty
jargon and surgical techniques.
evision surgery within 1 year of previous surgery is contraindicated.
Revision of the ultrathick skinned nose is generally much easier than revision of the
ultrathin skinned nose.
A and B only.
Prior to definitive use, skin testing is recommended for which of the following fillers?
Hyaluronic acids
Poly-L-lactic acid (Sculptra)
Polymethyl methacrylate (Artefill)
Silicone
What is the most common complication from face-lifting?
Satyr ear or Pixie ear deformity
Hematoma
Temporal hair-tuft alopecia
Facial nerve injury
Pulmonary embolus
The triad of adenoma sebaceum, mental retardation, and epilepsy is characteristic of
which autosomal-dominant syndrome?
Tuberous sclerosis
Neurofibromatosis
Sturge-Weber
Osler-Rendu-Webe
Carney
Following an upper eyelid blepharoplasty, a patient has persistent scleral show when
she closes her eyes. What is this finding called?
Blepharoptosis
Dermatochalasis
Lagophthalmos
Proptosis
Myoplasty is not possible with which of the following methods of forehead lifting?
Direct brow lifting
Coronal forehead lifting
Indirect brow lifting
Endoscopic forehead lifting
Patient-specific implants utilize which of the following technologies?
Human leucocyte antigen tissue compatibility tests
Messenger RNA encoding
Positron emission tomography scan
Positron emission tomography scan
MR scan
The donor site that supplies the best quality bone for osseointegrated implants is:
Fibula
Iliac crest
Circumflex scapular artery scapul
Thoracodorsal artery scapular tip (TDAST)
The best candidate for a coronal forehead lift or one of its modifications from the
following is:
A younger woman with a long forehead/high hairlineAn older woman with a short forehead/low hairline
A younger man with a short forehead and a family his
An older woman with a short forehead/low hairline
An older man with a long forehead and no history of androgenic alopecia
The most prominent anterior point on the chin is known as:
Labrale superioris
Menton
Pogonion
Rhinion
The dominant reason for proceeding with nerve grafting soon after injury is:
Biological regenerative potential
Practical/technical aspects of surgery
Functional outcome
All of the above
With conventional long-term tissue expansion, biological creep occurs at all levels of
the skin. Which of the following is a physiologic phenomenon seen in conventional
long-term tissue expansion?
A decrease in mitotic activity in the epidermis
Thickening of all layers of the dermis by 50%
increase in metabolic activity of fibroblasts
Increase in the number of hair follicles and distortion of the pattern of hair growthAtrophy of capillaries, venules, and arterioles
A Z-plasty designed with 60 o angle limbs will increase the length of the scar
10%
25%
50%
75%
The ideal limb length for geometric broken-line closure is:
1 mm
5 mm
7 mm
10 mm
Proportionate facial features are described by which of these statements?
Fall within normal measured values
Required to achieve an aesthetically pleasing result
More likely to harmonize with one another, producing an aesthetically pleasing result
Both A and C are correct
When taking a photograph in manual mode, increased photographic exposure can be
obtained by all of the following maneuvers except:
Changing aperture from f/8 to f/ 1 6
Changing shutter speed from 1/125 to 1/60 of a second
Changing ISO setting from ISO 1 00 to ISO 200
Increasing the ambient light
Deprojecting the nasal tip with a full transfixion incision is not effective with which of
the following anatomical variants?
Long, strong medial crura
Small nasal spine
Bulbous tip cartilages
Thin skin
Which of the following is the approximate temperature of the bone during drilling
to prepare for an osseointegrated implant that has been shown to cause osteoblast
death?
20 ° C
3 0 ° C
50 c
70 ° C
80 c
Scars that extend beyond the natural borders of the wound edges are most accurately
categorized as
Atrophic scars
Hypertrophic scars
Keloids
Fibroids
Lack of platysma decussation can predispose a patient to:
Cobra deformity
Turkey-gobbler deformity
Obtuse cervicomental angle
Platysma! banding
Which donor site requires preoperative assessment of vascular supply
Gastroomental and jejunum
Rectus
Radial forearm and fibula
Anterolateral thigh
Which of the following will increase photographic depth of field?
Which of the following will increase photographic depth of field?
Moving farther from the subject
Changing shutter speed from 1/60 to 1 / 1 25 of a second
Changing aperture from f/ 1 6 to f/8
Which of the following modifications creates the illusion of decreased nasal-tip
rotation?
A dorsal augmentation graft
An increase in nasolabial angle
A reduction of a hanging columella
A lateral crural overlay
Which of the following statements is true about chin augmentation with an implant?
Implants commonly cause anterior bony resorption of the mandible.
Implants are preferably placed through an intraoral approach.
The reported incidence of mentalis muscle dyskinesis is 25%.
A small button-style implant aesthetically causes less complications than wider
implants.
Which of the following factors provide strong justification for declining revision
rhinoplasty?
A well-defined and exacting cosmetic goal on behalf of the patient
The demonstration of anger or frustration by the patient during the initial consultation
Patient familiarity with fundamental rhinoplasty terminology and common treatment
strategies
urgical skills of the surgeon that are insufficient to achieve the approximate
cosmetic goa
All of the above
Studies examining length of time required for adhesion between cranium and overlying
periosteum or periosteum with overlying galea have demonstrated that iomechanical
strength of the dissected flap matches controls at which time period?
1 to 2 weeks
2 to 4 weeks
4 to 6 weeks
6 to 8 weeks
What are the anatomic elements of the internal nasal valve?
The caudal margin of the upper lateral cartilage (ULC), the anterior head of the inferior
turbinate, and the adjacent septum.
The cephalic margin of the ULC, the anterior head of the inferior turbinate, and the
adjacent septum.
The cephalic margin of the ULC, the medial crus of the lower lateral cartilages, and
the posterior septum
The caudal margin of the ULC, the anterior head of the inferior turbinate, and the
alar rim.
Which of the following statements are true regarding body dysmorphic disorder
(BDD) ?
BDD sufferers are at significantly increased risk for suicide.
Many BDD patients are delusional and lack awareness regarding their preoccupation
with trivial cosmetic imperfections.
Cosmetic surgery is generally contraindicated in patients with BDD.
A and C.
All of the above.
What is the plane of dissection for the preseptal transconjunctival approach in
blepharoplasty?
Between the conjunctiva and the lower eyelid retractors
Between the lower eyelid retractors and the orbital fat
Between the skin and the orbicularis oculi muscle
Between the orbicularis oculi muscle and the orbital septum
Directly through the conjunctiva and the lower eyelid retractors near the conjunctival
fornix
What is the minimal amount of cartilage width that should remain for adequate
support of the L-strut?
1 5 mm
20 mm
l O mm
30 mm
25 mm
Examples of pivotal flaps include:
Rotation, transposition, and interpolation flaps
Rotation, advancement, and island flaps
Bilobe, V-Y, and interpolation flaps
Advancement, hinge, and rhomboid flaps
Full-thickness grafts survive initially by diffusion of nutrition from fluid in the recipient
site, a process known as:
Plasma imbibition
Vascular inosculation
Neovascularization
None of the above
Which of the following is the most appropriate method of stabilizing the nasal base in
a patient with a retracted columella?
Caudal septal extension graft
Columellar strut
Set back medial crura on caudal septum (tongue-in-groove technique)
Extended columellar strut fixed to nasal spine
An overprojected (shallow) radix on nasal appearance will:
Exaggerate nasal dorsal height, creating the illusion of a "pseudohump"
Make the nose look visually longer
Make the nasal tip look more rotated
Make the nasal tip look more projected
How are contour irregularities that are seen 1 week following cervical liposuction and
anterior platysmaplasty best managed?
Reexploration
Steroid injections
Massage
Reassurance
What complication from face-lifting is thought to be significantly more frequent in
men than in women?
Hematoma
Nerve injury
Skin necrosis
Hypoesthesia
Pixie ear deformity
True or False: The greater the pivot of the flap, the shorter the effective length of the
flap?
True
False
You are asked to evaluate a newborn with bilateral microtia and atresia. What is your
most important recommendation?
High-resolution CT scan
Auditory brainstem response testing
Placement of bone conduction hearing aid
Plan to perform surgical correction at 1 0 wee
Which of the following best characterizes a prominent ear?
A. Absent antihelical fold
Absent antihelical fold and large conchal bowl
. Absent antihelical fold and defect of upper one-thirds of the helix
Absent antihelical fold and purse-string appearance at helix
Blepharochalasis refers to:
Excess skin of the lower eyelid
Drooping of the lower eyelid
A rare recurrent inflammatory disorder of the eyelids
Orbital fat pseudoherniation
Scleral show
During endoscopic browlift surgery, the temporal branch of the facial nerve can be
safely preserved
With endoscopic-assisted dissection lateral to the orbital rim and zygomatic arch
By dissecting along the undersurface of the temporoparietal fascia
By identifying the "sentinel vein" and staying deep in a plane deep to the temporoparietal
fascia
By dissecting medially within a radius of 3 em from the lateral orbital rim
Which of the following statements best describes the Tyndall effect?
it can be treated with a-adrenergic ophthalmic drops to stimulate Mueller's muscle.
It is seen with overly superficial injection of polymethyl methacrylate.
It may require treatment with hyaluronidase.
It results from intra-arterial injection of a dermal filler.
Which of the following statements regarding the overresected nose is not correct?
Noncompliant skin does not affect successful revision of the overresected nasal tip.
Reducing dorsal septal height exacerbates the sequela of the overresected tip.
The inverted-V deformity can arise without overresection of the dorsum.
Preserving 6 mm of lateral crural width does not always prevent crural collapse
All of the above.
Which type of lighting best replicated natural sunlight to see deviations in nose shape?
Anterior flash
Overhead flash
Side flash
Inferior flash
Posterior flash
What type of total pharyngeal reconstruction provides the best speech and swallowing
results?
Gastroomental
Anterolateral thigh
Jejunum
Latissumus dorsi from a patient with a high body mass index
In general, composite grafts should be limited in size to:
2 cm
5 mm
1 em or less from each wound edge
The entire aesthetic unit should be replaced
A 27-year-old pregnant woman presents to an urgent care clinic with a 3-week history
of a rapidly growing red friable papule that easily bleeds on the lateral commissure of
the mouth. As the consulting physician you astutely clinically diagnose:
Fibrous papule
Basal cell carcinoma
Angioma
Pyogenic granuloma
Sebaceous hyperplasia
A patient is left with a 10-cm2 defect of the scalp after resection of a basal cell carcinoma.
A reconstructive surgeon plans on using a tissue expander to reconstruct the
defect. What is the ideal surface area of the expander base that should be used?
5 cm2
10 cm2
20 cm2
3 0 cm2
40 cm2
Which of the following is not a consequence of cephalically positioned lateral crura?
Lateral wall collapse
Parenthesis deformity
Increased middle vault width
Ptotic nasal tip
Which of the following muscles is a brow depressor?
The corrugator procerus
The depressor supercilii
The depressor oculi
The oculi supercilii
The injectable filler most likely to be seen on cr scan is:
Hyaluronic acid (Juvederm)
Calcium hydroxylapatite (CaHA) (Radiesse)
Poly-L-lactic acid (Sculptra)
Silicone
Which of the following is false for the medical treatment of alopecia?
Finasteride is a type II Sa-reductase inhibitor used for the treatment of androgenetic
alopecia.
. A side effect of oral minoxidil for the treatment of hypertension is hypertrichosis.
Finasteride has beneficial effects for the treatment of androgenetic alopecia in men
and women.
The combination of finasteride and minoxidil is frequently used for the treatment of
androgenetic alopecia in men.
Which of these structures is part of the external nasal valve?
Lateral crura
Glabella
Dorsum
Middle turbinate
Ear molding techniques can be described by which of these statements?
Most successful in neonates less than 1 week old
Most successful at correcting prominent ears
Should not be performed in infants older than 3 months
Most successful at correcting severely constricted ears
The reflection of the orbital septum at the superior orbital rim is called?
Whitnall ligament
The levator palpebrae superioris
The tarsal plate
Arcus marginalis
Which of the following is true regarding follicular unit extraction (FUE) techniques for
the management of alopecia?
The entire follicular unit is visualized prior to extracting the graft in order to minimize
transection
Sharp and dull 1 -mm punches are utilized to extract the follicular units.
The back of the scalp is the only donor area that can be utilized using FUE.
The linear scar that results from FUE tends to be less noticeable than the resultant scars
from using the strip method for harvesting donor hair.
The inverted-V deformity is created by:
Overnarrowing of the nasal tip from transdomal suture placement
Excessive resection of lateral crura during tip reduction
Ischemic necrosis of the septum due to untreated septal hematoma
Disrupting the connection between the upper lateral cartilages (ULCs) and the septum
during dorsal-hump reduction
What is the effect of increased concentrations of croton oil to an 88% phenol solution
More profound epidermolysis
Decreased dermal effect
Increased healing times
Decreased healing times
Which of the following is incorrect regarding before and after photographs?
The same camera-to-subject distance should be maintained.
The patient should be placed in the Frankfort horizontal plane.
n the oblique view, the patient's head should be turned 45 o while the torso faces the
camera.
Hair should be pulled back behind ears and jewelry should be removed.
In the event of skin necrosis over the neoauricle, which choice is the best for a 5-mm
loss of skin?
Apply ointment daily until closed
Silver nitrate application bid
Wet-to-dry dressings
Temporoparietal fascia flap harvest
Split thickness skin graft to exposed cartilage
Which of the following is false in terms of complications from surgical hair restoration?
infections following surgical hair restoration are common and easily treated with oral
antibiotics.
If not properly planned, scalp reductions can result in an unnatural hair direction.
Wide donor scars are more common when harvesting a large segment of tissue in the
back of the scalp.
Cysts can occur at the recipient site when grafts are placed under the dermis.
Bony genioplasty does not correct:
Vertical microgenia
Mentalis muscle dyskinesis
Transverse chin asymmetries
Horizontal macrogenia
During a rhinoplasty, the surgeon initiates a lateral osteotomy too inferiorly (low) on
the pyriform aperture. Which outcome might be expected?
Medialization of the head of the inferior turbinate
Loss of tip support
Postoperative epistaxis
External nasal valve stenosis
What is the first step in treating a retroorbital hematoma following blepharoplasty?
Administration of 2 L oxygen
Administration of intravenous mannitol
Opening of all incisions and exploration
Lateral canthotomy and cantholysis
The osseous donor site that has the most soft-tissue options and has the longest
pedicle is:
Fibula
Iliac crest
Circumflex scapular artery scapula
Thoracodorsal artery scapular tip (TDAST)
What is the correct management of a patient with a class II neck and normal chin
projection?
Rhytidectomy
Rhytidectomy and cervical liposuction
Rhytidectomy, cervical liposuction, and anterior platysmaplasty
Rhytidectomy, cervical liposuction, and chin augmentation
Advantages of the endoscopic forehead lift include:
Avoidance of forehead shortening
Significantly less long-term motor nerve injury
Significantly less long-term sensory nerve injury
Faster recovery of sensory neuropathy
Pedicle division of the interpolated forehead flap:
Is usually performed after 3 weeks
Is usually performed after 7 to 1 0 days
Is rarely necessary
Should not be performed in smokers
The blood supply to the forehead flap is from
Both the collateral flow of the angular artery and the supratrochlear artery
The supraorbital artery
Both the supraorbital and supratrochlear arteries
The anterior branch of the superficial temporal artery
Which flap involves transfer of a flap pedicle across intervening cutaneous tissue?
Advancement
Interpolation
Rotation
Rhomboid
What is the correct management of a patient with a class II neck and normal chin
projection?
Rhytidectomy
Rhytidectomy and cervical liposuction
Rhytidectomy, cervical liposuction, and anterior platysmaplasty
Rhytidectomy, cervical liposuction, and chin augmentation
Advantages of the endoscopic forehead lift include:
Avoidance of forehead shortening
Significantly less long-term motor nerve injury
Significantly less long-term sensory nerve injury
Faster recovery of sensory neuropathy
Pedicle division of the interpolated forehead flap
Is usually performed after 3 weeks
Is usually performed after 7 to 1 0 days
Is rarely necessary
Should not be performed in smokers
The blood supply to the forehead flap is from:
Both the collateral flow of the angular artery and the supratrochlear artery
The supraorbital artery
Both the supraorbital and supratrochlear arteries
The anterior branch of the superficial temporal artery
Which flap involves transfer of a flap pedicle across intervening cutaneous tissue?
Advancement
Interpolation
Rotation
Rhomboid
What is the effect of decreasing the spot size of a laser beam?
Energy density decreases
Power density decreases
Power increases
Power density increases
What is the cause of involutional or senile ptosis?
Dehiscence of the orbicularis oculi from the tarsal plate
Separation of the levator aponeurosis from the tarsal plate
Dehiscence of the orbital septum from the levator aponeurosis
Homer syndrome
Hetter disproved which of Brown's postulates on Baker's classic formula with phenol
peeling?
Increased concentrations of phenol prevent deeper peels by causing an immediate
keratocoagulation that prevents its further penetration.
Adding a saponin-like septisol increases the depth of penetration of phenol.
Croton oil acts as a buffer for the solution
All of the above.
Which of the following statements regarding preoperative surgical evaluation is true?
Surgical (tissue) intolerance cannot be determined with certainty in any patient.
Computer "imaging" (morphing) software programs can greatly facilitate communication
between patient and surgeon.
Nasal palpation is an essential component of the preoperative assessment.
Photographic analysis is not a satisfactory substitute for a thorough physical examination
of the nose.
A, B, and C
A 14-year-old man presents with a 2-cm sharply circumscribed, yellow-orange, verrucous,
linear plaque on the vertex scalp that has been present since birth but recently
changing. The most common malignancy that may develop is called:
Melanoma
Basal cell carcinoma
Sebaceous carcinoma
Trichoblastoma
The cartilage used for ear reconstruction is best harvested from:
The contralateral ear
The mother's ear cartilage
Irradiated cartilage
Costal cartilage
The father's ear cartilage
Skin biomechanics play a key role in the understanding of how tissue expansion works.
What is the biomechanical property that describes the tendency of a solid material to
slowly move or deform permanently under the influence of stresses?
Extensibility
Creep
Viscoelasticity
Tension
Stress relaxation
A patient returns to her surgeon's office 15 years after undergoing rhinoplasty and is
diagnosed with an inverted-V deformity. What is the likely surgical etiology?
Disrupted connection between the caudal margin of the nasal bones and the cephalic
margin of the upper lateral cartilages (ULCs)
Inadequate lateral osteotomies
Failure to place a radix graft
Inappropriate fixation of her bilateral spreader grafts too inferiorly
Who is credited for the first description of subdividing the face for analysis into
horizontal thirds and vertical fifths?
Leonardo da Vinci
Powell and Humphreys
Galen
Galileo
