MCQs In Plastic Surgery - Hananwani's Blog

MCQ plastic surgery final cover.qxd09/07/200913:11Page 1explanations covering the breadth of plastic and reconstructive surgery including burns. Theexpansive array of questions with detailed explanations and references will provide a solidfoundation for those preparing for final specialty examinations such as the American Boards,the FRCS (Plast), EBOPRAS, MCh and others. The questions are drawn from international expertsand are up-to-date with the latest concepts and techniques, including face transplantation,new trends in reconstructive and aesthetic surgery, and recent scientific advances. It willtherefore appeal to those interested in plastic surgery education globally. In particular, it willhelp plastic surgeons to keep up-to-date in the specialty, and demonstrate this throughcontinuing medical education (CME) and for processes of revalidation.ContributorsHONG KONGAndrew BurdSLOVENIAZora JanzekovicHUNGARYNorbert NemethSWEDENRafael AcostaINDIAShobha ChamaniaTAIWANFu-Chan WeiARGENTINABraulio PeraltaITALYPaolo Santoni-RugiuUNITED KINGDOMDean BoyceDavid GaultHenk GieleHamish LaingTom PotokarAwf A QuabaDonald SammutTaimur ShoaibKayvan ShokrollahiPhilip J SykesChristopher G WallaceIain S WhitakerNicholas Wilson-JonesAUSTRALIADamien GrinsellJames KatsarosWarren M RozenBELGIUMPhillip N BlondeelMoustapha HamdiCANADAStefan OP HoferNETHERLANDSMoshe KonNEW ZEALANDSwee Thong TanPAKISTANShariq AliSINGAPORETan Kok ChaiColin SongShokrollahi, Whitaker & LaingAMERICAPejman AflakiIan T JacksonWilliam C LineaweaverMaurice NahabedianFoad NahaiBohdan PomahacLuis SchekerMCQs in Plastic SurgeryMultiple Choice Questions in Plastic Surgery provides over 400 questions, answers andPLASTICSURGERYKayvan ShokrollahiIain S WhitakerHamish LaingISBN 978-1-903378-66-39 781903 378663MultipleChoiceQuestions intf mForeword by Robert M. Goldwyn & Simon Kay

MultipleChoiceQuestions inprelims MCQs plast surg prelims MCQs plast surg.qxd 26-04-2013 16:17 Page iPLASTICSURGERYKayvan ShokrollahiIain S WhitakerHamish LaingForeword by Robert M. Goldwyn & Simon Kay

prelims MCQs plast surg prelims MCQs plast surg.qxd 26-04-2013 16:17 Page iiMultiple Choice Questions in Plastic Surgerytfm Publishing Limited, Castle Hill Barns, Harley, Nr Shrewsbury, SY56LX, UK. Tel: 44 (0)1952 510061; Fax: 44 (0)1952 510192E-mail: nikki@tfmpublishing.com; Web site: www.tfmpublishing.comiiDesign & Typesetting:First Edition:PaperbackNikki Bramhill BSc Hons Dip Law September 2009ISBN: 978-1-903378-66-3E-book editions:ePubMobiWeb pdf2013ISBN: 978-1-908986-42-9ISBN: 978-1-908986-43-6ISBN: 978-1-908986-44-3Cover images: Left: 2009 Kayvan Shokrollahi BSc MB ChB MSc LLMMRCS (Eng) FRCS (Plast); Middle and right: 2009 Welsh Centre forBurns and Plastic Surgery, ABM NHS Trust.The entire contents of Multiple Choice Questions in Plastic Surgery iscopyright tfm Publishing Ltd. Apart from any fair dealing for the purposesof research or private study, or criticism or review, as permitted under theCopyright, Designs and Patents Act 1988, this publication may not bereproduced, stored in a retrieval system or transmitted in any form or byany means, electronic, digital, mechanical, photocopying, recording orotherwise, without the prior written permission of the publisher.Neither the editors, the authors nor the publisher can accept responsibilityfor any injury or damage to persons or property occasioned through theimplementation of any ideas or use of any product described herein.Neither can they accept any responsibility for errors, omissions ormisrepresentations, howsoever caused.Whilst every care is taken by the editors, the authors and the publisher toensure that all information and data in this book are as accurate aspossible at the time of going to press, it is recommended that readers seekindependent verification of advice on drug or other product usage, surgicaltechniques and clinical processes prior to their use.The editors, authors and publisher gratefully acknowledge the permissiongranted to reproduce the copyright material where applicable in this book.Every effort has been made to trace copyright holders and to obtain theirpermission for the use of copyright material. The publisher apologizes forany errors or omissions and would be grateful if notified of any correctionsthat should be incorporated in future reprints or editions of this book.Printed by Gutenberg Press Ltd., Gudja Road, Tarxien, PLA 19, Malta.Tel: 356 21897037; Fax: 356 21800069.Proudly sourced and uploaded by [StormRG]Kickass Torrents TPB ExtraTorrent h33t

prelims MCQs plast surg prelims MCQs plast surg.qxd 26-04-2013 16:17 Page About the editorsAcknowledgementsGuidance notesSection 1:Section 2:Section 3:Section 4:xivxviixviiiBasic principles and basic scienceQuestionsAnswers119Hand surgeryQuestionsAnswers3559Aesthetic surgeryQuestionsAnswers87101Breast, trunk and perineumQuestionsAnswers113125iii

prelims MCQs plast surg prelims MCQs plast surg.qxd 26-04-2013 16:17 Page ivMultiple Choice Questions in Plastic SurgeryPageSection 5:Section 6:ivSection 7:Section 8:Section 9:Burns and traumaQuestionsAnswers141155Reconstructive head and neck surgeryQuestionsAnswers167185Cutaneous malignancy and sarcomaQuestionsAnswers203217Paediatric plastic surgeryQuestionsAnswers231247History of plastic surgeryQuestionsAnswers263277

prelims MCQs plast surg prelims MCQs plast surg.qxd 26-04-2013 16:17 Page vForewordThe editors, contributors and publisher of this book have achieved theirobjectives of “covering the breadth of plastic and reconstructive surgeryincluding burns” with their choice of subjects and questions, the clarity of theiranswers and the pertinence of their references. Any reader interested in whatwe do or think we do will find this book an excellent experience in learning. Itis not a potpourri of facts to be digested and disgorged in order to pass anexamination. It is Continuing Medical Education the way it was intended.Most who will be consulting this book will be preparing for anexamination. I remember the unpleasantness associated with what I thenconsidered a stressful intrusion into my already overfilled life. Like mypatients, however, who had to undergo surgery to continue their lives, Ihad to endure these exams to continue my career. My advice then tomyself and now to you who may be in a similar situation is not to fight theprocess. Convert the nuisance, if you regard it as such, into an opportunityto be a more knowledgeable, better doctor. Admittedly information is notthe same as wisdom but neither is it a deterrent.Many of those required to take a written examination have asked mewhy is it necessary in this era of instant retrieval of information to still storeso much data in their heads? A good question. Those who ask it areseldom satisfied with the likely predicted answer that knowing as manyfacts as possible will provide more quickly a sturdier and wider platformon which to build intellectually and professionally.Let us not forget that it is more important how we perform as a doctor- as a plastic surgeon with a patient - than at a credentialing session. Oneneeds, however, the formal imprimatur.In a multiple choice question that has more parts than Caesar said didGaul, one has an unusual, if not necessarily wanted, opportunity to thinkabout a problem from several angles, thereby enlarging one’s horizonbeyond what it would have been with a single answer question: yes or no?Socrates well understood this principle.Hopefully this book will help the reader consolidate what he or shealready knows and will stimulate creativity and spur scientific advance.v

prelims MCQs plast surg prelims MCQs plast surg.qxd 26-04-2013 16:17 Page viMultiple Choice Questions in Plastic SurgeryThe American economist and social critic Thorstein B. Veblen (18571929) stated: “The outcome of any serious research can only be to maketwo questions where one question grew before.” (Evolution of theScientific Point of View, 1908).viAgain my congratulations to the editors and contributors for soeffectively and pleasantly enlarging our knowledge and perspective of thebroad range of our specialty and its potential.Robert M. Goldwyn MDClinical Professor of SurgeryHarvard Medical School, Boston, MassachusettsEditor Emeritus, Plastic and Reconstructive SurgeryFormer Member of the American Board of Plastic SurgeryWho doesn’t love a quiz, especially one you can conduct alone andwhere the answers are immediately available? Quizzes can serve aslearning aids, knowledge testers, as reassurance or as a spur to furtherstudy. They can be a check of currency for one’s own knowledge as wellas a test for those revising for exams. But most of all, they are fun.This collection of tests of plastic surgery knowledge is well ordered,well structured and most of all enjoyable. This is plastic surgery in noteform, only turned around from the dreary litany of fact to the much moreengaging challenge: “Did you know that .”. I will be surprised if it doesnot gain a very wide audience, not only among those preparing (inwhatever country) for the exit exam in plastic surgery, but also amongsttrainers, established surgeons and anyone curious about the level of theirown knowledge. It also stands as monument to the extraordinary scope ofour specialty, and anyone who knows most of this will know most of thedepth and breadth of the specialty, as defined by a wide range ofcontributors from many nations and many areas of subspecialisation. Ivalue it highly and hope others will too.Professor Simon Kay BA, BM, BCh, FRCS (Plast), FRCSE (Hon)Consultant Plastic Surgeon, Leeds Teaching Hospitals, UKProfessor of Hand Surgery, University of LeedsPast President, British Society for Surgery of the HandPresident, British Association of Plastic,Reconstructive and Aesthetic Surgeons

prelims MCQs plast surg prelims MCQs plast surg.qxd 26-04-2013 16:17 Page viiContributorsAMERICAPejman Aflaki MDResearch Fellow, Division of Plastic Surgery, Brigham and Women’sHospital, Harvard Medical School, Boston, MassachusettsProfessor Ian T Jackson MBChB, MD(G) (Hon), DSc (Hon), FACS,FRCS (Ed), FRCS(C) (Hon), FRCS(G)(Hon), FRACS (Hon)Director, Craniofacial Institute, Southfield, MichiganEditor-in-chief, European Journal of Plastic SurgeryProfessor William C Lineaweaver MD, FACSRankin Plastic Surgery Center, Brandon, MississippiEditor-in-chief, Annals of Plastic SurgeryMaurice Nahabedian MD, FACSDepartment of Plastic Surgery, Georgetown University Hospital,Washington DCProfessor Foad Nahai MD, FACSPaces Plastic Surgery, Atlanta, GeorgiaClinical Professor of Plastic Surgery, Emory UniversityPresident, International Society for Aesthetic Plastic Surgery (ISAPS)Past President, American Society for Aesthetic Plastic Surgery (ASAPS)Editor-in-chief, Aesthetic Surgery JournalBohdan Pomahac MDAssistant Professor in Surgery, Harvard Medical SchoolMedical Director, Brigham and Women’s Hospital Burn Center, Boston,Massachusettsvii