SOAL BAILEY PLASTIC RECONSTRUCTION

1. What is the name of the area where the septum articulates with the nasal bones?
A. Bridge
B . Keystone
c. Fixter
D . Crest
E. Base
2. Which of the following is true regarding nasofrontal angle (NFA) ?
A. Women tend to have a more acute NFA.
B. The vertex should lie at a position in line with the superior limbus.
C. Surgical raising of the position of the sellion superiorly will shorten the length of the
nose.
D. All of the above.
3. The correction of microtia/atresia should begin with:
A. Skin graft to ear with removal of microtic vestige
B. Correction of the atresia by an otolaryngologist
C. Combined procedure in conjunction with the otologist
D. Autogenous cartilage harvest with framework creation
E. Wait until the child is 18 years of age to decide for himself or herself
4. The nasofacial angle is the angle formed by the intersection of:
A. A line drawn from the nasion through the nasal tip-defining point and a second line
drawn from the nasion through the alar-facial junction
B . A line drawn from the nasion through the subnasale and a second line drawn from the
nasion through the nasal tip-defining point
C. A line drawn from the nasion through the nasal tip-defining point and a second
line drawn from the glabella through the pogonion
D . A line drawn from the glabella through the nasal tip and a second line drawn from the
glabella through the subnasale
5. Which of the following is not a major tip-support mechanism?
A. Length and strength of the lower lateral cartilages
B. Attachment of medial crura to caudal septum
C. Nasal spine
D. Attachment of the cephalic margin of the lateral crura to the caudal margin of the
upper lateral cartilage
6. Where is the cartilage growth center in the nasal septum?
A. Perichondrium of anterior bony septum
B. Maxillary crest
C. Keystone area
D. Nasal tip
E. Bony dorsum
7. At what age does the ear reach nearly its full adult size?
A. 3 years old
B . 5 years old

c. 7 years old
D . 1 0 years old
8. Cartilage grafts are most likely needed for cutaneous defects involving:
A. Lower/lateral half of the nose, i.e., ala and sidewall
B. Nasal tip
C. Dorsal subunit
D. Not needed for skin-only defects as long as cartilage has not been sacrificed
9. Which of the following incisions is necessary for a delivery approach to the nasal tip?
A. An intercartilaginous incision coupled with a transcolumellar incision
B. A marginal incision coupled with an intercartilaginous incision connecting to a full
transfixion incision
C. A retrograde incision coupled with a marginal incision connecting to a hemitransfixion
incision
D. A rim incision coupled with an intercartilaginous incision connecting to a full Killian
incision
10. Which nerve is most commonly injured during face-lifting?
A. Marginal mandibular branch of facial nerve
B. Frontal branch of facial nerve
C. Great auricular nerve
D. Lesser occipital nerve
E. Greater occipital nerve
11. According to the tripod model of nasal-tip dynamics, which of the following is false?
A. Shortening the lateral crura increases tip rotation.
B . Shortening the medial crura decreases tip proj ection.
C. Increasing the length of the medial crura increases tip rotation.
D . Lengthening the medial crura and shortening the lateral crura decrease tip rotation.
12. 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?
A. Nasal airway obstruction
B . Tip bossae
C. Saddle nose deformity
D. Open roof deformity
13. Which of the following cells in the skin is the most sensitive to cold injury when using
liquid nitrogen for cryotherapy?
A. Keratinocyte
B . Melanocyte
c. Nerve
D . Merkel cell
E. Fibroblast
14. What is the most common complication from face-lifting?
A. Satyr ear or Pixie ear deformity
B. Hematoma

C. Temporal hair-tuft alopecia

D. Facial nerve injury
E. Pulmonary embolus
15. The most prominent anterior point on the chin is known as:
A. Labrale superioris
B. Menton
c. Pogonion
D . Rhinion
16. What are the anatomic elements of the internal nasal valve?
A. The caudal margin of the upper lateral cartilage (ULC), the anterior head of the inferior
turbinate, and the adjacent septum.
B . The cephalic margin of the ULC, the anterior head of the inferior turbinate, and the
adj acent septum.
C. The cephalic margin of the ULC, the medial crus of the lower lateral cartilages, and
the posterior septum.
D. The caudal margin of the ULC, the anterior head of the inferior turbinate, and the
alar rim.
17. Examples of pivotal flaps include:
A. Rotation, transposition, and interpolation flaps
B . Rotation, advancement, and island flaps
C. Bilobe, V-Y, and interpolation flaps
D. Advancement, hinge, and rhomboid flaps
18. Which of the following is the most appropriate method of stabilizing the nasal base in
a patient with a retracted columella?
A. Caudal septal extension graft
B. Columellar strut
C. Set back medial crura on caudal septum (tongue-in-groove technique)
D. Extended columellar strut fixed to nasal spine
19. An overprojected (shallow) radix on nasal appearance will:
A. Exaggerate nasal dorsal height, creating the illusion of a "pseudohump "
B. Make the nose look visually longer
C. Make the nasal tip look more rotated
D. Make the nasal tip look more projected
20. You are asked to evaluate a newborn with bilateral microtia and atresia. What is your
most important recommendation?
A. High-resolution CT scan
B. Auditory brainstem response testing
C. Placement of bone conduction hearing aid
D. Plan to perform surgical correction at 1 0 weeks
E. Molding splints to the microtic vestige
21. Which of the following best characterizes a prominent ear?
A. Absent antihelical fold
B . Absent antihelical fold and large conchal bowl

C. Absent antihelical fold and defect of upper one-thirds of the helix

D . Absent antihelical fold and purse-string appearance at helix
22. Which of these structures is part of the external nasal valve?
A. Lateral crura
B . Glabella
c. Dorsum
D . Middle turbinate
E. Septum
23. Ear molding techniques can be described by which of these statements?
A. Most successful in neonates less than 1 week old
B . Most successful at correcting prominent ears
C. Should not be performed in infants older than 3 months
D. Most successful at correcting severely constricted ears
24. During a rhinoplasty, the surgeon initiates a lateral osteotomy too inferiorly (low) on
the pyriform aperture. Which outcome might be expected?
A. Medialization of the head of the inferior turbinate
B. Loss of tip support
C. Postoperative epistaxis
D . External nasal valve stenosis
25. The blood supply to the forehead flap is from:
A. Both the collateral flow of the angular artery and the supratrochlear artery
B. The supraorbital artery
C. Both the supraorbital and supratrochlear arteries
D. The anterior branch of the superficial temporal artery
26. The cartilage used for ear reconstruction is best harvested from:
A. The contralateral ear
B. The mother's ear cartilage
C. Irradiated cartilage
D. Costal cartilage
E. The father's ear cartilage