Basic Science
Hand
Aesthetic
H&N/Reconstructive
Pediatric
100
Type I:Type III collagen ratio is 2:1,3:1 and 4:1
What is hypertrophic scarring, keloids and normal skin Bonus: Name the 3 amino acids that make up collagen
100
(1) Attach tendon to skin and are located volar, (2) attach bone to skin and are located dorsal
What are Grayson's ligament and Cleeland's ligaments (not involved in Dupuytrens Bonus: This cord flexes the MCP joint, this cord flexes the PIPJ and this cord dislocates the n/v bundle
100
The layers between which the facial nerve travels above the zygoma
What are under the superficial temporal fascia (temporoparietal fascia) and the superfical layer of the deep temporal fascia. Bonus: Describe Pitanguy's line
100
The most common benign and malignant primary neoplasm of the parotid
What is pleomoprhic adenoma and mucoepidermoid carcinoma. Bonus: what is the most common parotid tumor of childhood?
100
Autosomal dominant clefting syndrome with lip pits
What is Van der Woudes Syndrome Bonus: Syndrome resulting from deletion of chromosome 22q with broad nose, epicanthal folds and vertical maxillary excess.
200
This transplant medication works by blocking IL-2 release and has also been shown to accelerate nerve regeneration
What is tacrolimus (FK 506) Bonus: What is the medication and dosage to reverse the adverse effects of steroids on wound healing?
200
Ischemic rupture of the ulnar extensor tendons seen in the Rheumatoid hand
What is Vaughn-Jackson syndrome. Bonus: Name the causes of rupture of the EPL (landmark) and the FPL (syndrome) in the Rheumatoid hand
200
Five factors that are thought to decrease capsular contracture
What are, among many: (1) saline implants, (2) submuscular placement, (3) textured surface, (4) polyurethane, (5) highly-cohesive gel, (6) "no touch" technique, (7) strict hemostasis, (8) ACE inhibitors and/or leukotriene inhibitors, (9) ADM, (10) pocket irrigation Bonus: Recent investigational studies have targeted this protein (and co-stimulator) to prevent contracture
200
The Pairolero classification and the presentation of each
What is Acute, Subacute and Chronic. Bonus: The most common organism identified in sternal wound infections.
200
In cleft lip +/- palate, these two circumstances give a 4% incidence rate
What is (1) one sibling with cleft and (2) one parent with cleft and no siblings with cleft Bonus: Percentage risk if one parent and one sibling
300
The four zones of healing formed during distraction osteogensis
What is, from inside to out, (1) zone of fibrous tissue, (2) zone of mineralization, (3) zone of remodeling, and (4) zone of mature bone Bonus: The two types of blood supply to the fibula and the location point of the major nutrient vessel.
300
These are the four stages of perilunate instability (Mayfield Classification)
(1) scapho-lunate ligament disruption, (2) luno-capitate dislocation with tear thru space of Poirier, (3) luno-triquetral dislocation, and (4) lunate dislocation out of carpel row Bonus: define the DISI and VISI deformity
300
An infiltrate to aspiration rate of 0.5:1, 1:1, and >2:1.
What is the wet, superwet and tumescent technique Bonus: Name the three zones of the abdomen and the blood supply to each
300
An option for (1) 25% upper lip defect, (2) 50% upper lip defect and (3) 75% upper lip defect
What is (1) primary closure or lip advancement, (2) Abbe flap or Eastlander, and (3) Gillies fan flap or Kerapandzic flap Bonus: the difference between the Gillies and Kerapandzic flap
300
Five things that differentiate a vascular tumor from a malformation
What are among many: presence at birth, growth phases, epithelial cells, basement membranes, mast cell presence, treatment options, bone and ST hypertrophy Bonus: Describe the features of Kasabach-Merritt Phenomenon
400
1. Contra-indications for BCT 2. Contra-indications for NSM
1. tumor greater than 5cm*, multi-focal, pregnancy*, h/o radiation therapy to chest, diffuse microcalcifications 2. tumor within 2.5-4cm from nipple, positive infra-nipple frozen section, large tumors (>5cm), large, ptotic breasts Bonus: The TNM staging criteria for breast cancer and the 5-year survival of Stage I, II, III and IV
400
The classification for thumb hypoplasia (please describe classes)
What is the Blauth (Buck-Gramko) classification. I: hypoplastic, II: hypoplastic intrinsics and tight web space, IIIa: abnormal extrinsics, stable CMCJ, IIIb: abnormal extrinsics, unstable CMCJ, IV: floating thumb, V: absent thumb Bonus: What are the 7 Wassel Classes
400
Erbium Laser at 2910nm treats these malformations best.
What is lymphatic malformations Bonus question: What are the two major types of lymphatic malformations and the treatment for each.
400
The three muscles of the anterior compartment of the lower leg and the two muscles of the lateral compartment
What are the tibialis anterior, the flexor hallicus longus and the flexor digitorum, and the peroneus longus and brevis Bonus: The Mathes and Nahai classification and blood supply to the soleus and gastrocs
400
The (1) most common and (2) least common Tessier cleft
What is a Tessier 7 and a Tessier 9 cleft Bonus question: Name the cleft and two other features of Treacher Collins Syndrome
500
For each of these factors state whether they are increased or decreased in the first 24hrs after a severe burn: 1. cardiac output 2. cardiac pre-load 3. SVR 4. luekocyte function 5. plasma volume
What is: (1) decrease, (2) decreased, (3) increased, (4) decreased, (5) decreased Bonus: what is your initial fluid resuscitation rate for a 100kg man whom suffered a 50% TBSA burn three hours ago
500
The tendon transfers available for thumb opposition (Four)
What are the: EIP, ADM (Huber), the palmaris (Camitz), and the FDS of the ring finger. Bonus: What muscles are innervated by the anterior interosseus nerve and how is AIN different from pronator syndrome
500
The definition of mild, moderate and severe blepharoptosis and the definition of normal, mild dysfunctional and severe levator dysfunction.
What are: <2mm, 2-4mm and >4mm lower then the opposite eye (unilateral) or palpebral fissure >6mm, 4-6mm and <4 in bilateral cases. >10mm normal function, <6mm poor function. Bonus: This is the treatment for transient ptosis after botox chemodeinervation
500
Name the dominant blood supply to each of these flaps: (1) lateral arm (2) TFL (3) vastus lateralis (4) groin (5) parascapular flap
What is: (1) posterior radial collateral, (2) transverse (ascending) branch of the LCFA, (3) Descending branch of the LCFA, (4) superficial circumflex femoral, (5) cirumflex scapular Bonus: Name the three types of Mathes and Nahai fasciocutaneous perforators
500
travels posterior to the glossopharyngeal nerve and the carotid with an exit point in the posterior triangle of the neck.
What is the third branchial cleft cyst Bonus: The muscles derived from the first branchial arch
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