Multiple Choice Questions (MCQ)

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Category: Plastic Surgery--->Reconstructive head and neck surgery
Page: 11

Question 51# Print Question

Regarding tumour invasion of the mandible from an oral cavity squamous carcinoma:

A. The pathophysiology of mandibular invasion from an oral cancer alters after radiotherapy
B. Usually leads to decreased sensation in the lip
C. Makes a tumour inoperable
D. The best way of determining bony invasion is with a bone scan
E. A SCC can only invade through the occlusal ridge of the mandible in a dentate patient

Question 52# Print Question

Which one of the following is not a recognised cause of facial palsy?

B. Guillain-Barré syndrome
C. Pfeiffer’s syndrome
D. Cholesteatoma
E. Lyme disease

Question 53# Print Question

Neck dissections:

A. There is a proven survival benefit in performing elective neck dissections for thick melanomas (>4mm Breslow thickness) of the head and neck
B. A modified radical neck dissection is one in which five lymph nodes of the neck are excised along with the sternomastoid muscle, the spinal accessory nerve and the internal jugular vein
C. Air embolus is a common complication of neck dissections
D. May lead to a hoarse voice postoperatively
E. The marginal mandibular nerve lies superficial to the platysma

Question 54# Print Question

Total glossectomy:

A. A laryngectomy should always be performed at the same time to avoid aspiration
B. Patients may be able to speak and swallow after an appropriate reconstruction
C. A small thin pliable mobile flap should be used to reconstruct the defect
D. Is the treatment of choice for most T2 lateral tongue squamous cell carcinomata
E. There is no place in modern head and neck cancer management for such a destructive procedure

Question 55# Print Question

Regarding free tissue transfer of the fibula bone:

A. In adults, the vascular pedicle to the fibula flap is usually limited in length to approximately 12cm
B. Arteria peronea magna is a relative contraindication to fibula flap harvest
C. The double-barrelled fibula flap configuration was first reported by Jupiter et al for long bone reconstruction
D. According to Mathes and Nahai, the fibula bone, like the pectoralis muscle, has a Type V vascular pattern
E. For mandibular reconstruction, bicortical screw fixation of the osteotomised free fibula is recommended over unicortical fixation for improved stability of the neomandible

Category: Plastic Surgery--->Reconstructive head and neck surgery
Page: 11 of 11