Foundation Botulinum Toxin & Dermal Filler

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Question 1 of 95

1. Question
Information on costs, aftercare, downtime and frequency of visit should be explained to the patient during consultation.
- True
- False
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Question 2 of 95

2. Question
The decision of the final treatment plan should be made by:
- The practitioner
- The patient
- The patient’s family and friends
- The practitioner and the patient
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Question 3 of 95

3. Question
You should always check if the patient understood your key messages
- True
- False
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Question 4 of 95

4. Question
Which of the following does not contribute to a successful consultation?
- Be supportive
- Maintain eye contact
- Focus on writing notes while the patient is talking
- Use body language
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Question 5 of 95

5. Question
Ms. Bradell is a new patient who wanted some aesthetics procedures. She tells you that she is recently divorced and is concerned about her ‘very prominent’ frown lines. Upon examination, you could not really see any wrinkles in the glabella. What should you do?
- Treat her anyway as you are respecting her wishes
- Tell her that you could not see any frown lines, but point out other flaws you could see.
- Explain that you could not see any wrinkles and that you do not think she needs any treatments right now. Find out more about how she is coping with the divorce and offer her to come back in the near future.
- Explain that you could not see any wrinkles and that she has wasted your time.
Correct

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Question 6 of 95

6. Question
What does E stand for in the STEP approach?
- Enlighten
- Envision
- Encourage
- Entertain
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Question 7 of 95

7. Question
If the goals are clear, realistic and achievable, you can be proactive and devise a specific treatment plan for the patient.
- True
- False
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Question 8 of 95

8. Question
You should always let the patient target and prioritise specific treatment areas
- True
- False
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Question 9 of 95

9. Question
The face should be considered as a 3-D structure consisting of how many layers?
- 1
- 4
- 7
- 5
Correct

Incorrect
Question 10 of 95

10. Question
The subcutaneous fat layer is firmly attached to SMAS and loosely attached to skin
- True
- False
Correct

Incorrect
Question 11 of 95

11. Question
Which of the following is not a function of the skin?
- Heat regulation
- Hormone regulation
- Sensation
- Absorption
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Question 12 of 95

12. Question
The process of shedding and renewing of epidermal cells is called..
- Angiogenesis
- Neocollagenesis
- Desquamation
- Mitosis
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Question 13 of 95

13. Question
The facial artery comes from…
- External carotid artery
- Internal carotid artery
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Question 14 of 95

14. Question
The facial artery could be palpated at the posterior border of the masseter muscle
- True
- False
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Question 15 of 95

15. Question
The supratrochlear artery comes from…
- Internal carotid artery
- External carotid artery
Correct

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Question 16 of 95

16. Question
True ligaments run from the SMAS to the skin
- True
- False
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Question 17 of 95

17. Question
Muscles of facial expression are…
- Smooth muscles
- Cardiac muscles
- Skeletal muscles
- All of the above
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Question 18 of 95

18. Question
Which of the following is not a property of muscles?
- Excitability
- Contractibility
- Intercommunity
- Elasticity
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Question 19 of 95

19. Question
The fascia acts as a ‘clingfilm’ around muscles, giving them support
- True
- False
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Question 20 of 95

20. Question
Which muscles responsible for frowning?
- Orbicularis oculi and orbicularis oris
- Corrugator and Procerus
- Corrugator and orbicularis occuli
- Frontalis corrugator
Correct

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Question 21 of 95

21. Question
The action of frontalis is to…
- Elevate eyebrows only
- Depress eyebrows only
- Depress eyebrows and blinking action
- Elevate eyebrows and draw the scalp forwards
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Question 22 of 95

22. Question
Crow’s feet (lateral canthal lines) are caused by the contaction of:
- Orbicularis oculi
- Orbicularis oris
- Frontalis
- Corrugator
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Question 23 of 95

23. Question
The supratrochlear artery arises from
- Internal carotid artery
- External carotid artery
- Lateral carotid artery
- Medial carotid artery
Correct

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Question 24 of 95

24. Question
The supraorbital artery arises from
- Internal carotid artery
- External carotid artery
- Lateral carotid artery
- Medial carotid artery
Correct

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Question 25 of 95

25. Question
The light chain of botulinum toxin is…
- 50 kDa
- 25 kDa
- 100 kDa
- 150 kDa
Correct

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Question 26 of 95

26. Question
The heavy chain of botulinum toxin is..
- 25 kDa
- 50 kDa
- 100 kDa
- 150 kDa
Correct

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Question 27 of 95

27. Question
The heavy chain and light chain of botulinum toxin are held together by…
- Disulphide bonds
- Hydroxy bonds
- Peptide bonds
- Ionic bonds
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Question 28 of 95

28. Question
Which of the following is not a symptom of botulism?
- Difficulty swallowing
- Palpitations
- Gastroenteritis
- Double vision
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Question 29 of 95

29. Question
How many serotypes of botulinum toxin exist?
- 5
- 6
- 7
- 8
Correct

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Question 30 of 95

30. Question
Which chain exerts the paralytic effect of botulinum toxin by inactivating the SNARE complex?
- Short chain
- Long chain
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Question 31 of 95

31. Question
Which chain is responsible for binding botulinum toxin to receptors on a nerve cell?
- Short chain
- Long chain
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Question 32 of 95

32. Question
The entire botulinum toxin complex has to be internalised into motor neuron terminal through endocytosis.
- True
- False
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Question 33 of 95

33. Question
Botulinum toxin is indicated for the treatment of:
- Static wrinkles
- Dynamic wrinkles
- All of the above
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Question 34 of 95

34. Question
Botox Cosmetic is indicated for the temporary improvement in the appearance of moderate to severe forehead lines associated with frontalis activity.
- True
- False
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Question 35 of 95

35. Question
Treatment with botulinum toxin is contraindicated in patient who had periocular or ocular surgery in the last 6 months
- True
- Fales
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Question 36 of 95

36. Question
Which of the following is a complication caused by botulinum toxin?
- Oedema
- Bruising
- Infection
- Epiphora (excess tearing)
Correct

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Question 37 of 95

37. Question
A 50-unit vial of Botox should be diluted with _______ml of 0.9% normal saline.
- 0.8
- 1.0
- 1.25
- 2.50
Correct

Incorrect
Question 38 of 95

38. Question
A 100-unit vial of Botox should be diluted with ____ml of 0.9% normal saline
- 0.8
- 1.0
- 1.25
- 2.50
Correct

Incorrect
Question 39 of 95

39. Question
The resulting dose (units per 0.1ml) of Botox after reconstitution is…
- 5 units
- 4 units
- 2.5 units
- 2 units
Correct

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Question 40 of 95

40. Question
Botox can be reconstituted with…
- 0.9% Normal saline
- Water for injection
- 5% Dextrose
- All of the above
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Question 41 of 95

41. Question
After injecting saline into the vial, you should gently mix Botox with the saline by rotating the vial.
- True
- False
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Question 42 of 95

42. Question
Once open and reconstituted, Botox must be used within
- 12 hours
- 24 hours
- 48 hours
- 72 hours
Correct

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Question 43 of 95

43. Question
How many injection sites are there for forehead lines?
- 3
- 4
- 5
- 6
Correct

Incorrect
Question 44 of 95

44. Question
How many injection sites are there for glabellar lines?
- 3
- 4
- 5
- 6
Correct

Incorrect
Question 45 of 95

45. Question
How many injection sites are there for lateral canthal lines on each side?
- 3
- 4
- 5
- 6
Correct

Incorrect
Question 46 of 95

46. Question
For forehead injections, the upper treatment row should be midway between the superior margin of frontalis activity and lower treatment row.
- True
- False
Correct

Incorrect
Question 47 of 95

47. Question
To reduce ptosis, lateral corrugator injections should be placed at least ___cm above the bony supraorbital ridge.
- 1
- 2
- 3
- 4
Correct

Incorrect
Question 48 of 95

48. Question
For lateral canthal lines, injections should be given with the needle bevel tip up and oriented away from the eye.
- True
- False
Correct

Incorrect
Question 49 of 95

49. Question
Facial ageing is multifactorial
- True
- False
Correct

Incorrect
Question 50 of 95

50. Question
Bone resorption and remodelling in the skull occur from age…
- 30
- 35
- 40
- 45
Correct

Incorrect
Question 51 of 95

51. Question
Which of the following does not reduce when it comes to skin ageing?
- Elastin
- Layers of epidermis
- Skin thickness
- Hyaluronic acid
Correct

Incorrect
Question 52 of 95

52. Question
Atrophy and redistribution of fat pads lead to facial volume loss
- True
- False
Correct

Incorrect
Question 53 of 95

53. Question
Dermal fillers are great for the treatment of
- Dynamic wrinkles
- Static wrinkles
- Muscle relaxation
- All of the above
Correct

Incorrect
Question 54 of 95

54. Question
Which of the following is not characteristics of an ideal filler?
- Permanent
- Biocompatible
- Resorbable
- Noncarcinogenic
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Question 55 of 95

55. Question
The more crosslinking in a filler…
- The thinner it becomes
- The faster it is broken down by the body
- The more unstable it becomes
- The longer it lasts
Correct

Incorrect
Question 56 of 95

56. Question
HA fillers are reversible
- True
- False
Correct

Incorrect
Question 57 of 95

57. Question
HA fillers come in different viscosities
- True
- False
Correct

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Question 58 of 95

58. Question
The amount of HA in the skin increases with age:
- True
- False
Correct

Incorrect
Question 59 of 95

59. Question
Dermal fillers are indicated for:
- Tattoo enhancement
- Eyelash growth
- Lip hydration
- Mole removal
Correct

Incorrect
Question 60 of 95

60. Question
Fine lines and skin folds can be filled with dermal fillers
- True
- False
Correct

Incorrect
Question 61 of 95

61. Question
Clinical data have should that HA fillers are safe to use in pregnancy
- True
- False
Correct

Incorrect
Question 62 of 95

62. Question
Hypertrophic scars are a contraindication for dermal fillers.
- True
- False
Correct

Incorrect
Question 63 of 95

63. Question
Necrosis could be a result of…
- Injecting too superficial
- Injecting filler into an artery
- Inadequate cleansing before injection
- Blocking a hair follicle
Correct

Incorrect
Question 64 of 95

64. Question
Injection of fillers may compress blood vessels leading to necrosis
- True
- False
Correct

Incorrect
Question 65 of 95

65. Question
What is the recommended treatment for granuloma 4 months post-proedure?
- Surgical excision
- Intralesional hyalase injection
- Intralesional steroid injection
- Leave it to dissolve over time
Correct

Incorrect
Question 66 of 95

66. Question
A breakout of cold sores after dermal fillers can be prevented.
- True
- False
Correct

Incorrect
Question 67 of 95

67. Question
Anaphylaxis is impossible with dermal filler injections
- True
- False
Correct

Incorrect
Question 68 of 95

68. Question
Infection of the skin following dermal filler injections is usually caused by
- Staphylococcus aureus
- Streptococcus pyogenes
- Coronavirus
- Trichomonas vaginalis
Correct

Incorrect
Question 69 of 95

69. Question
To prevent vascular compromise, you should always
- Inject a large bolus of filler at a time
- Inject quickly
- Look for a flashback before injecting
- Inject as deep as you can
Correct

Incorrect
Question 70 of 95

70. Question
Extreme pain during treatment is normal
- True
- False
Correct

Incorrect
Question 71 of 95

71. Question
Which of the following item is not listed in an emergency kit?
- Aspirin
- Needles
- Syringes
- Paracetamol
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Question 72 of 95

72. Question
Hyaluronidase is human-derived
- True
- False
Correct

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Question 73 of 95

73. Question
There is no chance of allergic reaction to hyaluronidase
- True
- False
Correct

Incorrect
Question 74 of 95

74. Question
‘Serial puncture’ is an injection technique where filler is injected while withdrawing the needle, leaving a tunnel of products in the skin.
- True
- False
Correct

Incorrect
Question 75 of 95

75. Question
Cross hatching is a great method that reduces pain as only one initial hole is created in the skin.
- True
- False
Correct

Incorrect
Question 76 of 95

76. Question
When performing a depth check, if the skin blanches without lifting the needle, it means that you are…
- Too deep
- Right depth
- Too superficial
- Too lateral
Correct

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Question 77 of 95

77. Question
For superficial creases, the correct angle of needle entry is..
- 25 degrees
- 15 degrees
- 45 degrees
- 30 degrees
Correct

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Question 78 of 95

78. Question
Which of the following is not a result of lidocaine toxicity?
- Respiratory distress
- Restless legs
- Seizures
- Tremor
Correct

Incorrect
Question 79 of 95

79. Question
There are no complications associated with the use of topical numbing creams
- True
- False
Correct

Incorrect
Question 80 of 95

80. Question
Ice may be used to numb the skin by placing it on the target area for 5-10 minutes continuously before injection.
- True
- False
Correct

Incorrect
Question 81 of 95

81. Question
Lidocaine toxicity to the cardiovascular system include:
- Skin blanching
- Cardiac arrest
- Hypotension
- Arrhythmias
Correct

Incorrect
Question 82 of 95

82. Question
Which artery could be affected when treating the nasolabial fold?
- Facial artery
- Angular artery
- Supraorbital artery
- Temporal artery
Correct

Incorrect
Question 83 of 95

83. Question
The ideal filler for nasolabial fold should be…
- Uncrosslinked
- High viscosity
- Very low viscosity
- Medium viscosity
Correct

Incorrect
Question 84 of 95

84. Question
Fanning technique is commonly used in the treatment of nasolabial fold
- True
- False
Correct

Incorrect
Question 85 of 95

85. Question
Bruising is common when treating the nasolabial fold
- True
- False
Correct

Incorrect
Question 86 of 95

86. Question
Which artery is important when it comes to the treatment of marionette lines?
- Inferior labial artery
- Supratrochlear artery
- External carotid artery
- Transverse facial artery
Correct

Incorrect
Question 87 of 95

87. Question
Volume loss in the chin area also contributes to marionette lines
- True
- False
Correct

Incorrect
Question 88 of 95

88. Question
Dermal filler treatment in the marionette lines can help to lift the corners of mouth
- True
- False
Correct

Incorrect
Question 89 of 95

89. Question
Bruising is rare when it comes to injecting the marionette lines.
- True
- False
Correct

Incorrect
Question 90 of 95

90. Question
The top lip should be thicker than the bottom lip.
- True
- False
Correct

Incorrect
Question 91 of 95

91. Question
Which artery lies just 2mm under the wet-dry border of the top lip
- Superior labial artery
- Facial artery
- Angular artery
- Mental artery
Correct

Incorrect
Question 92 of 95

92. Question
Serial puncture technique is great for treating superficial smoker’s lines
- True
- False
Correct

Incorrect
Question 93 of 95

93. Question
Retrograde technique is commonly used for injections in the body of the lip
- True
- False
Correct

Incorrect
Question 94 of 95

94. Question
Swelling is uncommon for lip procedures
- True
- False
Correct

Incorrect
Question 95 of 95

95. Question
When performing enhancement of the vermillion border, we can use the cross-hatch technique
- True
- False
Correct

Incorrect

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