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

S ystemic Q uestions 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 Vascular occlusion 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 Vascular occlusion Streptococcal exotoxins, Superantigen (b) SMCQ

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

Deep Infection Ischemia, and Tissue necrosis Cytokines Vascular occlusion Streptococcal exotoxins, Superantigen (d) 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 Numbness Weak muscles Pressure tension Inflammation Adhesion Fibrosis Oedema (a) STFQ

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

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

Cycle of Carpal Tunnel Syndrome runs through: Oedema Pressure tension Inflammation Adhesion Fibrosis Numbness Weak 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 block s SMQSMQ

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 SSQSSQ

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

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 SSQSSQ Reduced Cardiac Output

Complete Systemic

Complete the following systemic diagram showing Injurious Biochemical changes which occurs after reperfusion in Ischemic replanted digit ISCHEMIA ↑Xanthine Dehydrogenas e Thromboxane X Vasoconstriction Reperfusion

Injurious Biochemical changes which occurs after reperfusion in Ischemic replanted digit : Ischemia ↑Xanthine Dehydrogenas e Xanthine oxidase Thromboxane X Thromboxane A2 Vasoconstriction Reperfusion