Post : Senior Lecturer in Plastic and Reconstructive Surgery
Department : Medical Education
Category Code : 154/17
Qualification : Mch (Plastic and Reconstructive Surgery)/ M.ch/DNB (plastic Surgery) + Permanent Registration under State Medical Council
Date of Test : 16-01-2018
- Lesions in the oral cavity having high potential for malignant transformation are all of the following except
- Erthroplakia
- Speckled erythroplakia
- Chronia hyperplastic candidiasis
- Oral lichen planus
- Most common site of hypospadias is
- Coronal
- Penile
- Scrotal
- Perineal
- The most accepted mechanism of wound contraction is attributed to
- Fibroblast
- Myofibroblast
- Collagen
- Cell division
- The function of Z-plasty is
- To lengthen a scar
- To break up a straight line
- To change the direction of scar
- All of these
- The first instrument built specifically for harvesting of skin graft was developed by
- Humby
- Reverdin
- Padget
- Blair
- Primary contraction is more in
- Thin split thickness graft
- Intermediate split thickness graft
- Thick split thickness graft
- Full thickness graft
- In proliferative phase, which type of collagen is laid down?
- Type I
- Type II
- Type III
- Type IV
- Commonest nerve for nerve graft is
- Common peroneal nerve
- Sural nerve
- Deep peroneal nerve
- Musculocutaneous nerve
- Oral cavity proper contains all except
- Floor of mouth
- Hard palate
- Posterior 1/3 tongue
- Anterior 2/3 of tongue
- Precursor skin lesions may be present in all the following cutaneous malignancies except
- Squamous cell carcinoma
- Basal cell carcinoma
- Melanoma
- Angiosarcoma
- Necrolytic migrating erythemous dermatitis is feature of
- Zollinger-Ellison syndrome
- Verner-Morrison syndrome
- Glucagonoma syndrome
- Insulinoma
- The neo-epidermis of a scar of healed wound avulses easily and is more fragile than normal skin because of
- Deficiency of collagen in scar
- Increased fibroblasts at site
- Increased capillary network
- It is devoid of rete pegs
- PET scan detect malignant lesion by picking up
- Areas of increased vascularity
- Areas of hypermetabolic activity
- Areas of tissue necrosis
- Areas of microcalcification
- Out of the following, which one is usually not an axial pattern flap?
- Inter polation flap
- Forehead flap
- Deltopectoral flap
- Groin flap
- Following are the flaps that rotate about a pivot point, except
- V-Y advancement flap
- Interpolation flap
- Rotation flap
- Transposition flap
- Following requirements are essential for a Limberg's flap except
- The adjacent skin should be loose
- The defect may be in any shape
- The opposing angles are of equal size
- It should have angles of 60 and 120 degree
- In Z-Plasty 100 perent theoretical gain in length is achieved with angles of
- 45-45
- 60-60
- 75-75
- 90-90
- In the Mathes and Nahai classification Pectoralis Major and Latissimus Dorsi Muscles belong to
- Type II
- Type III
- Type I
- Type V
- The classification of nerve injuries was originally proposed by
- Sunderland
- Seddon
- Mackinnon
- Myckatyn
- The most aggressive type of Basal Cell carcinoma is
- Nodular
- Superficial
- Morpheaform
- Pigmented
- Which of the following statements is not true for Marjolin's ulcer?
- It is a squamous cell carcinoma
- It develops in an area of chronic inflammation and scarring
- It carries a risk of metastasis of nearly 50%
- It does not spread to regional lymphnodes
- Not true for Groin Flap
- It is a hairy flap
- It is an axial flap
- It is based on superficial circumflex iliac artery system
- Usually the donor defect is closed primarily
- The surgical technique of total excision of lymphoedematous tissue and skin grafting is known as
- Thompson procedure
- Sistrunk's operation
- Homan's procedure
- Charle's procedure
- Tarsal tunnel syndrome presents as symptoms of compression of
- Common peroneal nerve
- Superficial peroneal nerve
- Posterior tibial nerve
- Deep peroneal nerve
- According to Gustilo classification, the compound fracture of tibia with soft tissue loss and exposed bone is labeled as
- Type II
- Type III B
- Type III
- Type III A
- In carcinoma breast patient absolute contraindications to breast conservation are the following except
- Multiple ipsilateral lesions
- Diffuse suspicious microcalcifications
- Steroid dependent collagen vascular disease
- Radiation induced
- True statements for botulinum toxin A are the following except
- Clinically the beneficial effects of the toxin are apparent for more than one year
- Injection of botulinum toxin A are the most frequently performed cosmetic procedure in the United States
- Dr. Alan Scott, and ophthalmologist, pioneered the use of botulinum toxin A in humans
- It has been successfully used to treat spasn of sphimeter of Oddi
- Level VI cervical nodes drain the following except
- Thyroid
- Glothic/Subglothic Larynx
- Pyriform sinus apex
- Naso phanynx
- Following are the signs and symptoms of fracture except
- Absence of stepping in the infraorbital margin
- Asymmetry of the malar region
- Anaesthesia in the infraorbital region
- Presence of trimus
- Unilateral cleft lip result from failure of fusion of
- Lateral nasal process and maxillary prominence
- Median nasal process and maxillary prominence
- Median nasal process and mandibular process
- None of these
- Which of the following is not true for a patient seeking lower lid blepharoplasty?
- A Schirmer I test showing less than 10 mm at 5 minutes would be a relative contra indication
- A 'snap' test should always be performed
- Excess skin below the level of the orbital margin is usually corrected by lower lid blepharoplasty
- Blindness is a rare but recognised complication
- Le fort II facial fracture, by definition involves
- The orbital floor always
- The orbital floor sometimes
- The cribriform plate always
- All of these
- Common findings in submucus cleft are the following except
- A bifid uvula
- Velophayngeal in sufficiency
- A notched posterior hard palate
- Muscular diastasis of the velum
- In complete bilateral cleft of the lip and palate, the protruding premaxilla is attached to
- Right palatal shelve
- Left palatal shelve
- Vomerine bone
- Ethmoid bone
- In Pierre Robin sequence, the cleft palate should be repaired
- At 9 months
- At 12 months
- At 15 months
- Repair is delayed as compared to other cleft palate closures
- In the repair of cleft lip, upper lip Z-plasty is included in
- Rose Thompson repair
- Millard's repair
- Randall Tennison repair
- Skoog repair
- Following statements are true for Carpenter syndrome, except
- Head is asymmetric
- It is not a genetic disorder
- Presence of partial syndactyly of digits
- Preaxial polysyndactyly of the feet
- Not true for teacher Collins syndrome
- Unilateral hypoplasia of the body and arch of zygoma
- Significantly increased facial convexity
- Mandibular hypoplasia
- External and middle ear anomalies
- Following signs and symptoms are commonly present in zygomatic fractures, except
- Trismus
- Involvement of infraorbital nerver
- Enophthalmos
- Increased malar prominence
- Vertically favourable fracture of the mandible should usually be treated with
- Rigid fixation using plate and screws
- Interosseous wiring
- Interdental wiring
- Mandibulo-maxillary fixation
- Usually the plane of cleavage of scalp avulsion is
- Subcutaneous layer
- Galer aponeurotica
- Loose areolar tissue
- Subperiosteal layer
- The largest vessel supplying the scalp are
- Supratrochlear arteries
- Supraorbital arteries
- Superficial temporal arteries
- Occipital arteries
- True for scalp skin, except
- It is the thickest skin on the body
- Thickness ranges between 3 and 8 mm
- Beneath the skin lies the subcutaneous tissue layer, which contains follits
- It is not connected to the galea aponeurotica
- Following statements are true for the galea aponeurotia in the scalp except
- It is part of a broad fibromuscular layer that envelops the forehead and scalp
- It serves as the central tendinous confluence of the occipital muscle posteriorly and frontalis muscle anteriorly
- It does not have any attachment to the overlying skin
- It is continuous with the tempro parietal fascia
- Most common site of fracture of mandible is
- The neck of the condyle
- Angle of the mandible
- In the region of the canine teeth
- Symphysis menti
- Craniofacial dysjuction is seen in fracture maxilla type
- Le Fort I
- Le Fort II
- Le Forte III
- Vertical Fracture
- Not true for blow out fractures of the orbit
- Presence of Enoplthalmous
- Diplopia
- Restriction of upward rotation of robit
- Presence of fracture in the inforaobital rim
- Which answer is true regarding structural fatgrafting?
- It should never be used in the nose
- It can be used to augment midface hypoplasia
- It cannot be used for breast augmentation without the Brava® device
- HIV is an absolute contraindication
- Commonest cause of Burns in Children <5 years old
- Electric
- Flame
- Scalds
- Chemical
- High voltage electric burn is when the voltage is
- ≥ 220 V
- ≥ 1000 V
- ≥ 11000 V
- ≥ 33000 V
- Amount of fluid used for resuscitation in Burn patient using parkland formula is
- 1 ml/kg/% TBSA
- 2 ml/kg/% TBSA
- 3 ml/kg/% TBSA
- 4 ml/kg/% TBSA
- Traditional classification of hemorrhagic shock a blood loss 30-40% is labled as
- Class I shock
- Class II shock
- Class III shock
- Class IV shock
- Complications of massive blood transfusion include all except
- Coagulopathy
- Hypocalcemia
- Hyperkalemia
- Hyperthermia
- In major acute burn patients, changes in glucose metabolism include
- Increased serum glucose and increased serum insulin
- Increased serum glucose and decreased serum insulin
- Decreased serum glucose and increased serum insulin
- Decreased serum glucose and increased serum insulin
- The rule 9s for the extent of surface area involvement in burns was described by
- Thiersch
- Parkland
- Wallance
- Evans
- Analgesic of choice for acute burn is
- Oral NSAID
- IV NSAID
- IV OPIATES
- None of these
- Burn injury to skin, subcutaneous fat into underlying muscle or bone is classified as
- II degree burn
- IV degree burn
- III degree burn
- V degree burn
- All are resuscitation formula used for calculating fluid requirement in burn patients except
- Parkland formula
- Berknow formula
- Galveston formula
- Brooke formula
- Deep partial thickness burns will heal in
- 7-10 days
- 10-14 days
- 14-21 days
- More than 21 days with contractures
- Full thickness burns are characterised by the following except
- Presence of blisters
- Brown, black surface
- Leathery look
- Insensate
- Suggested 'ideal' breast measurements in the context of inferior pedicle breast reduction surgery do not include
- Sternal notch to nipple distance of 21 cm
- Inter-nipple distance 21 cm
- The nipple to inframammary fold distance of 3.4 cm
- Areolar diameter 4 cm
- In the management of chemical burns, the following first aid should be done except
- Removal of the inciting agent
- Contaminated clothes should be removed
- Neutralization of the inciting agent should be done
- Affected skin should be copiously irrigated with water
- Clinodactyly and camptodactyly are examples of
- Failure of formation of parts
- Failure of differentiation or separation of parts
- Duplication
- Overgrowth
- Most common type of thumb duplication is
- Bifid distal phalanx
- Duplicated distal phalanx
- Bifid proximal phalanx
- Duplicated proximal phalanx
- Following statements are true for macrodactyly, except
- Single or multiple digits can be involved
- The little finger is most frequently affected
- The defect is more common in males
- Majority of cases are unilateral
- True for Dupuytren's disease except
- It is the development of scar tissue in the palm and digits
- The scar tissue contains normally occurring type 1 collagen
- The cords of scar result in the contraction of the metacarpophalangeal joints
- It may result inpseudo boutonniere deformity
- Absolute contraindication to replantation is
- Patient's advanced age
- Avulsion injuries
- Multiple injuries within the amputation part
- Prolonged warm ischaemia time
- The most frequent indication for tendon transfer is
- Poliomyelitis
- Paralysis of healthy muscle, usually from nerve injury
- Treating spastic disorders
- Injury to the muscles
- Strong contraindications to elective thumb reconstruction include the following except
- Significant vascular disease
- Short life expectancy
- Unreconstructable sensory loss
- High patient expectations
- True for carpal tunnel syndrome, except
- It is a neurological disorder median nerve
- It is typically first manifested by numbers of the middle finger and adjacent side of the ring finger
- It occurs more frequently among women
- As the duration increases numbers extends into the thumb and index finger
- Kaplan's cardinal line is formed by
- Palmer creases of hand
- A line draw from the apex of the first web space to the edge of pisciform bone
- A draw from hook of hallmark to pisciform bone
- Life lines on ulnar aspect of hand
- Felon is
- Parona's space infection
- Also known as pyogenic flexor tenosynovitis
- Subcutaneous abscess of the distal pulp of finger
- Deep palmer arch infection
- Which zone of hand is also known as 'no man's land'?
- Zone II flexor tendon system
- Zone II extensor tendon system
- Zone IV extensor tendon system
- Zone IV flexor tendon system
- In the process of breast implant selection, the following are important except
- Soft tissue quality
- Bra and cup size
- Implant volume
- Implant shape
- Kienbock disease is
- Avascular necrosis of lunate
- Avascular necrosis of hook of hamate
- Avascular necrosis of neck of femur
- Avascular necrosis of capitates
- Which of the test is done for median nerve injury?
- Forments test
- Jeanne's sign
- Wartenberg's sign
- None of these
- Dominant pedicle to Tensor Fascial lata is
- Ascending branch of deep femoral circumflex artery
- Branch from obdurate artery
- Descending branch of inferior epigastria artery
- Ascending branch of lateral femoral circumflex artery
- The anterolateral thigh perforator flap in first reported by
- Mathes and Nahai
- Beck and Song
- Mcgreger
- H. Gilles
- Thoracdorsal artery perforater flap was first described by
- Angrigiani
- Bakamjian
- PC Neligan
- Song
- Singapore flap technique used reconstruction of which structure?
- Penis
- Vagina
- Scrotun
- Pressure ulcer defect
- The Kerala river mentioned in the Arthasatra of Kautilya
- Pamba
- Achankovilaru
- Bharathapuzha
- Periyar
- The author of Mukunthamala
- Kalidasa
- Panini
- Pathanjali
- Kulasekara Alwar
- Name of the first Geoinformatic Panchayath in Kerala
- Narikkuni
- Kalpakanchery
- Aruvikkara
- Meppadi
- The largest producer of rice
- Indonesia
- India
- China
- America
- Present Chief Election Commissioner of India
- Naseem Saidi
- A. Sambath
- T. Krishnamachari
- Achalkumar Jyothi
- The last Indian state which accepted GST
- Jammu and Kashmir
- Kerala
- Assam
- Tamil Nadu
- The west flowing rivers is one of the following
- Narmada
- Kaveri
- Krishna
- Godavari
- The hilly areas of northeastern state bordering the Myanmar is known as
- Sivalic
- Purvanchal
- Himadri
- Himachal
- The rainy season starts in Tamil Nadu during the winter season. The main reason is
- Southwest monsoon
- Temperate cyclone
- Northeast monsoon
- Local winds
- One of the soils in Kerala formed due to alternate hot and wet season
- Alluvial soil
- Red soil
- Black soil
- Laterite soil
- Nebular theory is connected with
- Immanuel Kant
- Edwin Hubble
- Sir Harold Jeffry
- Sir James Jean
- The only one classical dance which includes cultural aspect of Hindus and Muslims
- Oddissi
- Kathak
- Satriya
- Kuchuppudi
- The birthplace of Tunchat Ezhuthachan
- Kaladi
- Trissivapperur
- Tirur
- Ponnani
- Name the Indian city which is recently declared world heritage site by UNESCO
- Allahabad
- Old Delhi
- Calicut
- Ahmedabad
- The residence name of S. K. Pottakkad
- Chandrakantham
- Sankaramangalam
- Indeevanam
- Sadgamaya
- The poet known as Mahakavi of Mappilappatu and the author of 'Badarul Muneer and Husnul Jamal'
- Baburaj
- V. M. Kutty
- Moinkutty Vaidyar
- Nor Muhammed
- The viral disease which affects lungs
- Dengue
- H1N1
- Weils disease
- Chikkunguinia
- The founder of Sadhu Jana Paripalana Sangam
- Ayyankali
- Chattambi Swamikal
- Vagbatananta
- Veluthambi
- Sree Nayayana Guru consecrated a Siva idol in 1888 by shocking the orthodox section at
- Mannanam
- Aruvippuram
- Vaikom
- Paliam
- The movement of Vakkom Abdul Khader Moulavi is
- Muslim league
- Malabar Muslim Sabha
- Muslim Service Society
- Travencore Muslim Maha Jana Sabha
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