Systemic Assessment in Plastic Surgery

1. Systemic Assessment in Plastic Surgery Eman Mohammad Yahya Sadek Associate Professor of Plastic Surgery Ain Shams University

2. Systemic Questions Systemic Objective Questions Other Types of Systemic Questions SSQ SSyQ CSQ SMCQ SMRQ STFQ SMQ

3. SYSTEMIC Multiple Choice Questions[ SMCQ,s]

4. SMCQ Put () in front of the only correct systemic diagram showing pathology of necrotizing faciitis Deep infection (a) Ischemia, and Tissue necrosis • Streptococcal exotoxins, • Superantigen Cytokines • Vascular • occlusion

5. SMCQ (b) Deep Infection • Streptococcal exotoxins, • Superantigen Ischemia, and Tissue necrosis Cytokines • Vascular • occlusion

6. SMCQ (c) Cytokines • Streptococcal exotoxins, • superantigen Ischemia, and Tissue necrosis Deep Infection • Vascular • occlusion

7. SMCQ (d) Cytokines Ischemia, and Tissue necrosis • Streptococcal exotoxins, • Superantigen Deep Infection • Vascular • occlusion

8. SMCQ Pathology of Necrotizing Faciitis Correct answer: b

9. SYSTEMIC True False Questions[ STFQ,s]

10. STFQ Which of the following systemics are true and which are false: Cycle of Carpal Tunnel Syndrome runs through (a) • Numbness • Weak muscles • Oedema Adhesion Fibrosis Pressure tension Inflammation

11. STFQ Cycle of Carpal Tunnel Syndrome runs through: (b) Oedema Numbness Weak muscles Adhesion Fibrosis Pressure tension Inflammation

12. STFQ Cycle of Carpal Tunnel Syndrome runs through: (c) Oedema Numbness Weak muscles Inflammation Pressure tension Adhesion Fibrosis

13. STFQ Cycle of Carpal Tunnel Syndrome runs through: (d) Adhesion Fibrosis Pressure tension Numbness Weak muscles Oedema Inflammation

14. STFQ Cycle of Carpal Tunnel Syndrome • a ,b: true • d,c: false

15. Systemic Matching Questions [SMQ,s]

16. SMQ Choose scaffolds from column (A) & osteogenic From column (B) to build the best composite bone substitute systemicin column (C) :

17. Other Types of Systemic Questions

18. Systemic Sequencing Questions [SSQ,s]

19. SSQ 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

20. SSQ Cascade of SIRS; Toxic Shock Release of cytokines Multiple Organ System Faliure Activation of complement Cascade Endothelial Cell Damage

21. Systemic Synthesis Questions [SSyQ,s]

22. SSyQ 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.

23. SSQ Increased Intrabdominal pressure in Fluid Recussitation of Critical Cases Resuscitation Total body fluid third space Multiple Organ System Faliure Increased intraabdominal pressure Reduced Cardiac Output Vena cava compression

24. Complete Systemic

25. Complete the following systemic diagram showingInjurious Biochemical changes which occurs after reperfusion in Ischemic replanted digit ISCHEMIA ↑Xanthine Dehydrogenase Vasoconstriction Reperfusion Thromboxane X

26. Injurious Biochemical changes which occurs after reperfusion in Ischemic replanted digit : Ischemia ↑Xanthine Dehydrogenase Vasoconstriction Reperfusion Xanthine oxidase Thromboxane A2 ThromboxaneX