Plastics

Question 1

What is the most common cause of graft failure ?

Answer 1

Collection of hematoma beneath the graft

Question 2

Rhomboid flap / limberg flap is used in ?

Answer 2

Pilonidal sinus or Jeep drivers disease 

Question 3

In DP(delto pectoral) flap blood supplies from which vessels ?

Answer 3

Perforators of internal mammary vessels

Question 4

In abbe - Estlander flap / lip switch flap blood supply is from which vessels ?

Answer 4

Labial Vessels

Question 5

For Breast reconstruction most commonly used flap is ?

Answer 5

TRAM flap

Question 6

Blood supply of TRAM flap ?

Answer 6

Superior epigastric vessels - Axial
Inferior epigastric vessels - Free
If both supercharged TRAM

Question 7

Free Fibular flap is most commonly used for What ?

Answer 7

Mandibular reconstruction also used for Andy gump deformity

Question 8

Pressure sore frequency of Decreasing order 

Answer 8

Ischium (MC)
Greater trochanter
Sacrum
Heel,
Malleolus(lateral > medial)
Occiput

Question 9

What are the phases of wound healing?

Answer 9

Hemostasis
Inflammatory (upto 4 days)
Proliferative ( type III Collagen) (Mφ & fibroblasts)
Remodeling( type I collagen)

Question 10

Management for keloid scar is ?

Answer 10

Intralesional Triamcinolone(long acting steroids)
For recurrent: SX , LASER

Question 11

Cleft lip and cleft palate is associated with which disease ?

Answer 11

Pierre Robin syndrome

Question 12

The system which use to document the abnormality when examining a patient with cleft palate

Answer 12

LAHSAL
Lip
Alveolus
Hard Palate
Soft Palate
Alveolus
Lip

Capital = Complete cleft
Lower case = Partial cleft

Question 13

Which surgery is done in Cleft Lip?

Answer 13

Milard Repair (after 3-6month)

Question 14

Which surgery is done in SOFT Cleft Palate?

Answer 14

Z plasty(after 3-6 month)

Question 15

Which surgery is done in HARD Cleft Palate?

Answer 15

Done after 12-15 month of age
Unipedicled repair → V-Y plasty / Wardill kilner repair
Bipedicle repair → Von Langenbeck repair)

Question 16

Bed sores / Pressure sores formed on constant pressure of ?

Answer 16

>30 mmHg (same pressure for compartment syndrome)

Question 17

In VAC how much NEGATIVE pressure obtained ?

Answer 17

-125 mmHg