Systemic Assessment in Plastic SurgeryEman Mohammad Yahya Sadek

Associate Professor of Plastic SurgeryAin Shams University

Systemic Questions

Systemic Objective Questions

SMCQ

SMRQ

STFQ

SMQ

Other Types of Systemic Questions

SSQ

SSyQ

CSQ

SYSTEMIC Multiple Choice

Questions[ SMCQ,s]

Deep infection

Ischemia, and Tissue necrosis

Cytokines

Vascularocclusion

Streptococcal exotoxins,

Superantigen

(a)

SMCQ

Put () in front of the only correct systemic diagram showing pathology of necrotizing faciitis

Deep Infection

Ischemia, and Tissue necrosis

Cytokines

Vascularocclusion

Streptococcal exotoxins,

Superantigen

(b)

SMCQ

Deep Infection

Ischemia, and Tissue necrosis

Cytokines

Vascularocclusion

Streptococcal exotoxins,

superantigen

(c)

SMCQ

Deep Infection

Ischemia, and Tissue necrosis

Cytokines

Vascularocclusion

Streptococcal exotoxins,

Superantige

n

(d)

SMCQ

SMCQ

Pathology of Necrotizing Faciitis

Correct answer: b

SYSTEMIC True False Questions[ STFQ,s]

Which of the following systemics are true and which are false:

Cycle of Carpal Tunnel Syndrome runs through

NumbnessWeak muscles

Pressuretension

Inflammation

AdhesionFibrosis

Oedema

(a)

STFQ

Cycle of Carpal Tunnel Syndrome runs through:

Oedema

Pressuretension

Inflammation

AdhesionFibrosis

NumbnessWeak muscles

(b)

STFQ

Cycle of Carpal Tunnel Syndrome runs through:

Oedema

Pressuretension

Inflammation

AdhesionFibrosis

NumbnessWeak muscles

(c)STFQ

Cycle of Carpal Tunnel Syndrome runs through:

Oedema

Pressuretension

Inflammation

AdhesionFibrosis

NumbnessWeak

muscles

(d)STFQ

Cycle of Carpal Tunnel Syndrome

• a ,b: true• d,c: false

STFQ

Systemic Matching Questions [SMQ,s]

Choose scaffolds from column (A) & osteogenic From column (B) to build the best composite bone substitute systemicin column

(C) : [ A ] -----------------------------------ceramics

Synthetic composites

polymer-composite

Titanium mesh

Selica based material

bioglass

[ C ] -----------------------------------

[ B ] -----------------------------------latismus dorsi muscle

BMA composite,

Osteoinductive growth factors

Polyglycolic acid

Cancellous bone

Bone mineral blocks

SMQ

Other Types of Systemic Questions

Systemic Sequencing Questions [SSQ,s]

Put the following items in the correct sequence in the following systemic diagram showing cascade of SIRS;

Toxic Shock-Multiple Organ System Faliure-Activation of complement Cascade-Release of cytokines-Endothelial Cell Damage

SSQ

Cascade of SIRS;

Toxic Shock

Endothelial Cell

Damage

Multiple Organ

System Faliure Activation

of complement Cascade

Release of cytokines

SSQ

Systemic Synthesis Questions [SSyQ,s]

Synthesize the following Systemic into Aetiopathologic Relations:

• Resuscitation-Vena cava compression-Multiple Organ System Faliure-Reduced Cardiac Output-Increased intraabdominal pressure-Total body fluid third space.

SSyQ

Increased Intrabdominal pressure in Fluid Recussitation of Critical

Cases

Resuscitation

Vena cava compression

Multiple Organ System

Faliure

Increased intraabdominal

pressure

Total body fluid third space

SSQ

Reduced Cardiac Output

Complete Systemic

Complete the following systemic diagram showing

Injurious Biochemical changes which occurs after reperfusion in Ischemic replanted digit

ISCHEMIA↑Xanthine

Dehydrogenase

Thromboxane X

Vasoconstriction

Reperfusion

Injurious Biochemical changes which occurs after reperfusion in

Ischemic replanted digit :

Ischemia↑Xanthine

Dehydrogenase

Xanthine oxidase

Thromboxane X

Thromboxane A2

Vasoconstriction

Reperfusion