Multiple Choice Questions MCQ

Question 54# Print Question

Prominent ear correction:

A. Should ensure the antihelix marginally projects more than the helix

B. Can often be corrected with splitage at 2-3 years of age

C. Is best undertaken at age 5

D. Using the Mustardé and Chongchet (anterior scoring) techniques were both described in 1963 in the British Journal of Plastic Surgery

E. Should never be undertaken unless definite psychological trauma can be demonstrated in a child

Question 51# The following is true about the Salter-Harris classification of paediatric fractures:
A. Type I has a good prognosis
B. Type II includes a fracture line through the epiphysis
C. Type III includes a fracture line through the metaphysis
D. Type IV is a crush injury
E. None are true
Type I has a good prognosis. Type I Salter-Harris fractures generally have a good prognosis and can be thought of as ‘slipped’ epiphyses. There are five types, Type V being a crush injury of the growth plate. Type II involves the metaphysis, Type III the epiphysis, and Type IV both the metaphysis and epiphysis.

Question 52# The following are associated with hypospadias except:
A. Scrotal bipartition
B. Chordee
C. Both inguinal hernia and undescended testes
D. Androgen hypersensitivity
E. Environmental oestrogens
Androgen hypersensitivity.

Question 53# The following is true regarding cleft palate surgery:
A. The Veau-Kilner-Wardill technique is also described as the ‘push forward’ technique
B. The von Langenbeck technique involves raising a unipedicled flap
C. Intravelar veloplasty involves repair of the nasal mucosa
D. The Furlow technique is a V-Y plasty
E. The Furlow technique is a W-plasty
Intravelar veloplasty involves repair of the nasal mucosa. The Veau-KilnerWardill technique is a push-back technique, the von Langenbeck technique is a bepidicled technique and Furlow described the doubleopposing Z-plasty.

Question 54# Prominent ear correction:
A. Should ensure the antihelix marginally projects more than the helix
B. Can often be corrected with splitage at 2-3 years of age
C. Is best undertaken at age 5
D. Using the Mustardé and Chongchet (anterior scoring) techniques were both described in 1963 in the British Journal of Plastic Surgery
E. Should never be undertaken unless definite psychological trauma can be demonstrated in a child
Using the Mustardé and Chongchet (anterior scoring) techniques were both described in 1963 in the British Journal of Plastic Surgery. It is best undertaken after age 5 when the ear has achieved 80% of its adult size. To avoid an ‘overcorrected’ look the antihelix should not be more prominent than the helix. Otoplasty is a relatively simple operation in experienced hands, and if parents and child are keen for surgery, this is entirely reasonable. References: Chongchet V. A method of antihelix reconstruction. Br J Plast Surg 1963; 16: 268- 72. Mustardé C.The correction of prominent ears using simple mattress sutures. Br J Plast Surg 1963; 16: 170-8. Shokrollahi K, Kaney SJ. Psychological considerations in patient selection for pinnaplasty. J Plast Reconstr Aesthet Surg 2009; 62(1): 118.