Sociedade Brasileira de Dermatolodia Surgical & Cosmetic Dermatology

IR PARA

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Questoes e Gabaritos

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Facial anatomy


 

1. What is the importance of the medial and lateral palpebral ligaments
when considering filling techniques in the region of the nasojugal
folds or laterally to it?
a. Presence of vascular complex that can cause serious complications,such as amaurosis.
b. Presence of fat pads that can be exacerbated,causing large edemas in the eyelids.
c. Presence of dense lymphatic system that can impair the eyelids’drainage.
d. They are responsible sustaining the palpebral area,and their filling can bring about the ptosis of the fat pads.
e. They prevent the progression of the filler to the lateral-superior and medial-superior portions of the periocular region.
2. In the parotidomasseteric area the skin adheres closely to the fibers
of the risorius and platysma muscles.The branches of the facial nerve
and the duct of the parotid are located (A).When treating the parotid
region area,it is important to bear in mind that the duct is (B).
a. (A) In a position posterior to the SMAS,and anterior to the masseter and the buccal fat.(B) Below the line that connects the angle of the mouth to the tragus
b. (A) In a position anterior to the SMAS,and anterior to the masseter and the buccal fat.(B) Below the line that connects the angle of the mouth to the tragus.
c. (A) In a position posterior to the SMAS,the masseter,and the buccal fat. (B) Below the line that connects the angle of the mouth to the tragus.
d. (A) In a position posterior to the SMAS,and anterior to the masseter and the buccal fat.(B) Above the line that connects the angle of the mouth to the tragus.
e. (A) In a position posterior to the SMAS,the masseter,and the buccal fat. (B) Below the line that connects the angle of the mouth to the tragus.
3. Regarding the division of the face into segments it can be asserted that:
a. The superior third has as its boundaries the imaginary line drawn from the tragus to the nasal wing,then surrounding the malar prominence and the zygomatic arch,up to the nasal wing.The middle third corresponds to the region that is between the line described above and the imaginary line drawn from the tragus,surrounding the border of the upper lip,up to the corner of the mouth.The boundary of the inferior third extends from the second line described above,follows the border of the lower lip,and continues up to the mandibular margin.
b. The superior third has as its boundary the imaginary line drawn from the tragus up to the external corner of the eyes,surrounding the inferior eyelid’s eyelashes,and that follows the nasal root up to the supraciliary line.The middle third corresponds to the region located between the line described above and an imaginary line beginning at the tragus,extending up to the corner of the mouth,and surrounding the lower lip.The inferior third is located between the boundaries represented by the line above and the mandibular margin,and follows the border of the lower lip.
c. The superior third has as its boundaries the imaginary line drawn from the tragus,surrounding the malar prominence and the zygomatic arch, up to the nasal wing.The middle third corresponds to the region that is between the line described above and the imaginary line drawn from the tragus to the border of the lower lip.The boundaries of the inferior third stretch from the line described above to the mandibular margin, following the border of the lower lip.
d. The superior third has as its boundaries the imaginary line drawn from the tragus up to the external corner of the eyes,surrounding the inferior eyelid’s eyelashes,and that follows the nasal root up to the supraciliary line.The middle third is the region located between the line described above and the imaginary line that links the mandibular angle to the corner of the mouth,then following the border of the lower lip. The boundaries of the inferior third go from the line described above, up to the mandibular margin,and following the border of the lower lip.
e. The superior third has as its boundaries the imaginary line drawn from the tragus up to the external corner of the eyes,surrounding the inferior eyelid’s eyelashes,then following the nasal root,up to the supraciliary line.The middle third is the area between the line described above and the imaginary line drawn from the tragus to the corner of the mouth,then surrounding the border of the upper lip.The boundaries of the inferior third go from the line described above to the mandibular margin,delimiting the border of the lower lip.
4. The ideal location of the prominence of the malar region is...(A)
inferiorly to the external corner of the eye.When there are deficien-
cies in those measures,there is an elongation of the maxilla,which in
many cases can cause...(B) of the middle third of the face.The sub-
malar triangle is an inverted triangular depressed area in the middle
third of the face,delimited superiorly by the prominence of the zygo-
ma,medially by the nasolabial fold and laterally...(C).
a. (A) 10 mm laterally and 15 mm (B) a lack of projection (C) by the body of the masseter muscle.
b. (A) 15 mm laterally and 25 mm (B) a lack of projection (C) by the body of the masseter muscle.
c. (A) 10 mm laterally and 15 mm (B) the excessive projection (C) by the major and minor zygomatic muscles.
d. (A) 15 mm laterally and 25 mm (B) a lack of projection (C) by the major and minor zygomatic muscles.
e. (A) 10 mm laterally and 15 mm (B) a lack of projection (C) by the inferior border of the risorius muscle.
5. The eyes are located in the two cavities of the orbital bones,which
are subdivided into (A)...margins.The frontal bone forms the superi-
or or supraorbital margin.The supraorbital incisure (or foramen) that
houses the nerve and supraorbital vessels is located (B)....The supra-
orbital margin ends laterally in the zygomatic process of the frontal
bone and,in each of the supraorbital margins,the frontal bone is ori-
ented posteriorly,as the orbital component that forms most of the
ceiling of the respective orbit’s ceiling.The lateral margin is formed
by the zygomatic and frontal bones.The inferior border is formed
(C)....Below the inferior margin of the orbit,in the midpupillary line,
the maxilla presents an opening,the infraorbital foramen,which
allows the passage of the infraorbital nerve and the artery.
a. (A) superior,lateral,inferior and medial (B) in the medial portion of the frontal bone;medially to the incisure,the margin is crossed by the supratrochlear nerve and vessels.(C) by the maxilla and zygomatic bones,and the medial margin of the orbit is formed by the maxillae, lacrimal and frontal bones.
b. (A) superior and inferior (B) in the medial portion of the frontal bone, and also medially to the incisure.(C) by the maxilla and zygomatic bones,and the medial border of the orbit is formed by the maxillae and lacrimal bones.
c. (A) superior and inferior (B) in the medial portion of the frontal bone; the border is crossed laterally to the incisure by the supratrochlear nerve and vessels.(C) by the maxilla and zygomatic bones,and the medial border of the orbit is formed by the maxillae and lacrimal bones.
d. (A) superior,lateral,inferior and medial (B) in the medial portion of the frontal bone;the border is crossed medially to the incisure by the front frontal nerve and orbital vessels.(C) by the maxilla and zygomatic bones, and the medial margin of the orbit is formed by the maxillae,lacrimal and frontal bones.
e. (A) superior,lateral,inferior and medial (B) in the medial portion of the frontal bone;the border is crossed medially to the incisure by the frontal nerve and supratrochlear vessels.(C) by the maxilla and zygomatic bones,and the medial border of the orbit is formed by the maxillae and lacrimal bones.
6. Although the technique described for beginners,which recom-
mends the use of different angles to introduce the needle into the
superficial,medium or deep dermis is always valid,the concept should
be understood in millimetric terms by all professionals,for the refine-
ment of the technique.According to Arletti (2008),which of the fol-
lowing measurements are considered accurate?
a. The thickness of the dermis removed from the area of the nasolabial fold ranges between 1.32 and 1.55 mm;the diameter of the needle usually used to inject fillers is between 0.3 and 0.4 mm,with the length of the needle’s bevel between 0.75 and 0.95 mm.Therefore,the fact that fillers have been injected mainly below the dermis – even by experienced physicians – is questioned.
b. The thickness of the dermis removed from the area of the nasolabial fold ranges between 2.32 and 3.55 mm;the diameter of the needle usually used to inject fillers is between 0.3 and 0.4mm,with the length of the needle’s bevel between 0.75 and 0.95 mm.Therefore,the fact that fillers have been injected mainly in the dermis – even by experienced physicians – is questioned.
c. The thickness of the dermis removed from the area of the nasolabial fold ranges between 1.32 and 1.55 mm;the diameter of the needle usually used to inject fillers is between 0.1 and 0.6 mm,with the length of the needle’s bevel between 0.75 and 0.95 mm.Therefore,the fact that fillers have been injected mainly above the dermis – even by experienced physicians – is questioned.
d. The thickness of the dermis removed from the area of the nasolabial fold ranges between 2.32 and 3.55 mm;the diameter of the needle usually used to inject fillers is between 0.3 and 0.4 mm,with the length of the needle’s bevel between 0.75 and 2.95 mm.Therefore,the fact that fillers have been injected mainly below the dermis – even by experienced physicians – is questioned.
e. The thickness of the dermis removed from the area of the nasolabial fold ranges between 1.32 and 2.55 mm;the diameter of the needle usually used to inject fillers is between 0.3 and 0.4 mm,with the length of the needle’s bevel between 0.15 and 0.95 mm.Therefore,the fact that fillers have been injected mainly in the dermis – even by experienced physicians – is questioned.
7. Choose the correct alternative:
a. The sub orbicular ocular fat (SOOF) is located above the lower part of the body of the zygomatic bone and below the muscle.The malar fat pads may result from the ptosis of the SOOF,being located below the orbital margin level.The lateral ligament functions as a barrier, preventing the dispersion of the filler beyond it.
b. The sub orbicular ocular fat (SOOF) is located above the lower part of the body of the zygomatic bone and above the muscle.The malar fat pads may result from the ptosis of the SOOF,being located below the level of the orbital margin.The lateral ligament functions as a barrier, preventing the dispersion of the filler beyond it.
c. The sub orbicular ocular fat (SOOF) is over the lower part of the body of the zygomatic bone and below the muscle.The malar fat pads may result from the ptosis of the SOOF and are located above the level of the orbital margin.The lateral ligament functions as a barrier,preventing the dispersion of the filler beyond it.
d. The sub orbicular ocular fat (SOOF) is over the lower part of the body of the zygomatic bone and below the muscle.The malar fat pads may result from the ptosis of the SOOF and they are located above the level of the orbital margin.The medial ligament functions as a barrier, preventing the dispersion of the filler beyond it.
e. The sub orbicular ocular fat (SOOF) is above the lower part of the body of the zygomatic bone and over the muscle.The malar fat pads may result from the ptosis of the SOOF and are located below the level of the orbital margin.The medial ligament functions as a barrier, preventing the dispersion of the filler beyond it.
8. The eyes are located in the two orbital bone cavities,which are sub-
divided into superior,lateral,inferior and medial margins.The frontal
bone forms the superior or supraorbital margin.The incisure or
__________,which houses the __________ nerve and vessels,is in the
medial portion of the frontal bone.The margin is crossed by the
___________ nerve and vessels medially to the incisure.The supraorbital
margin ends laterally in the zygomatic process of the frontal bone and,
in each of the supraorbital margins,the frontal bone is oriented poste-
riorly.The lateral margin is formed by the ___________.The inferior
margin is formed by the maxilla and by the zygomatic bones;the
orbit’s medial border is made up by the maxillae,lacrimal and frontal
bones.Below the inferior border of the orbit,on the midpupillary line,
the maxilla presents an opening – the infraorbital foramen – which
allows the passage of the __________ nerve and the artery.
a. Foramen supraorbital;supraorbital;supratrochlear;zygomatic and frontal bones;infraorbital
b. Foramen infraorbital;supraorbital;infratrochlear;zygomatic and temporal bones;infraorbital
c. Foramen infraorbital;supraorbital;infratrochlear;zygomatic and parietal bones;infraorbital
d. Foramen infraorbital;supraorbital;supratrochlear;zygomatic and temporal bones;infraorbital
e. Foramen supraorbital;supraorbital;supratrochlear;nasal and frontal bones;infraorbital
9. The malar bone (zygomatic) forms the prominence of the face,and
is located in the inferior and lateral margin of the orbit,resting on the
maxilla.It is comprised of a lateral surface on the face,an orbital sur-
face that contributes to the lateral wall of the orbit,and a temporal sur-
face located in the temporal fossa.The frontal process connects with
the zygomatic process of the frontal bone,and the temporal process
connects with the zygomatic process of the temporal bone.In the lat-
eral portion,the zygomatic bone is perforated by the ______________,
a small foramen that allows the passage of the nerve with the same
name.The anesthesia of that area facilitates ______________.
a. zygomatic-facial foramen;the filling and sculpture of the malar region
b. zygomatic-facial foramen;the filling and sculpture of the lateral nasal region
c. facial mandibular foramen;the filling and sculpture of the malar region
d. malar and nasal facial foramina;the filling and sculpture of the malar and nasal areas
e. None of the above
10. Oriented laterally,the largest prominence of the mandible is called
the gonion.The symphysis of the mentum is known as the medial
region of the mandible (A).The inferior margin of the mandible is the
base,and the digastric fossa is an irregular depression in the base or
close to the symphysis (B).Four centimeters before the mandibular
angle,the base can present a ridge through which the facial artery
passes (the pulsation of the artery is visible) (C).The masseter mus-
cle’s insertion occurs in the lateral surface of the mandibular ramus in
which it is embedded (D).
a. All of the above are true.
b. All of the above are false.
c. Only C is true.
d. Only A and C are true.
e. Only C is false.

Gabarito do número anterior

1. A 2. B 3. C 4. D 5. C 6. B 7. A 8. E 9. B 10. C

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