Multiple Choice Questions (MCQ)

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Category: Plastic Surgery--->Burns and trauma
Page: 2

Question 6#Print Question

The following is true regarding fasciotomies of the foot:

a. The medial approach is a single incision, and provides access to all three compartments
b. The lateral approach is the most commonly used
c. The dorsal approach is a single incision
d. The dorsal approach involves four incisions
e. None of the above

Question 7#Print Question

Calorific requirements for burn-injured adult patients are:

a. Calculated based on the Cuschieri formula
b. Ideally adjusted for a calorie-nitrogen ratio of 500:1
c. 25kcal/kg + 40kcal/% burn
d. 20kcal/kg in children
e. Must be given parenterally whenever possible

Question 8#Print Question

When looking at the successful outcome of postburn surgical functional reconstruction which of the following do you think is the most critical determinant of the final result?

a. The expertise and experience of the reconstructive burns surgeon
b. The socio-economic status of the patient
c. The expertise and experience of the postoperative rehabilitation therapists
d. The motivation and compliance of the patient (and/or parents)
e. The provision of state-of-the-art equipment for both inpatient and outpatient postoperative physiotherapy and occupational therapy

Question 9#Print Question

When considering the aesthetic reconstruction of post-burn facial scarring which has resulted in extensive textural abnormality but no deformity of anatomical features, which of the following would be your method of choice for skin resurfacing?

a. Full thickness excision in anatomic units and grafting with thick split thickness grafts using multiple quilting sutures
b. Full thickness excision in anatomical units and grafting with preexpanded full thickness skin
c. Full thickness excision and resurfacing with an Integra® regeneration template in a two-stage procedure
d. Sequential dermabrasion of entire sections of the face (lower, middle, upper third) and application of sheets of medium thickness skin using tissue glue and steri-strip fixation and no sutures
e. Use the carbon dioxide laser to remove the textural abnormality and immediately apply a cell suspension of keratinocytes harvested from the scalp

Question 10#Print Question

When considering extensive burn scarring restricting movement of all joints of both upper limbs, which should be the order of priority for surgical release?

a. The dominant hand should be treated first
b. The most severely deformed hand should be treated first, irrespective of dominance
c. The least deformed hand should be treated first, irrespective of dominance
d. The axilla of the dominant hand should be treated first
e. The patient should be allowed to choose which joint should be treated first

Category: Plastic Surgery--->Burns and trauma
Page: 2 of 8