FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2017

POSSESSION USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
PLASTIC SURGERY
PAPER II
PLS/J/17/37/II
Time 3 hours
Max. Marks 100
Important instructions:
• Attempt all questions in order.
• Each question carries 10 marks.
• Read the question carefully and answer to the point neatly and legibly.
• Do not leave any blank pages between two answers.
• Indicate the question number correctly for the answer in the margin space.
• Answer all the parts of a single question together.
• Start the answer to a question on a fresh page or leave adequate space between two answers.
• Draw table/diagrams/flowcharts wherever appropriate.
Write short notes on:
1. How do you plan reconstruction in a case of hemimandibulectomy
for a Ca- Alveolus?
Recipient vessels for free flaps for oral malignancy.
Enumerate options for reconstruction in midline defect of
the mandible.

2. Clinical features management outline of:
Poland syndrome
Polydactyly
Clinodactyly

3. A mother presents to you with a 1-year child who has fused
index, middle and ring fingers.
What will be your management strategy?
What are the principles of syndactyly release?
What are the types of syndactyly?

4. A mother presents to you with her 4 months baby who has a
rapidly growing pigmented mass on cheek:
What history will you elicit and what are the probable
diagnoses?
What is Schobinger's classification?
What are the differences between an arterio-venous
malformation and a hemangioma?

5. A 20-year old post traumatic paraplegic male presents to you
with pressure sores:
How will you clinically evaluate him?
What are the common sites of pressure sores?
What is the pathophysiology of pressure sores?

P.T.O.
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2017

POSSESSION USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
PLASTIC SURGERY
PAPER II
6. A 30-year old male is referred to you with a compound
fracture of the tibia and fibula:
How will you evaluate him?
Write Gustilo's classification.
What are the features of an ideal amputation stump?

7. Surgical anatomy of the penis.
Enumerate methods of total penile reconstruction.
Implants used in genital reconstruction.

8. What are the principles of tendon transfer?
Enumerate transfers for high median nerve palsy.
Surgical technique of Huber's transfer.

9. A 7-year old child presents to you with a flexed wrist and
fingers after a forearm fracture 4 months earlier:
What history will you elicit and what is the probable
diagnosis?
What are the compartments of the forearm?
How would you do a fasciotomy of the forearm and hand?

10. A 45-year old woman presents to you with persistent pain in
hand. She had undergone surgery for a forearm injury about
5 months prior:
What are the symptoms and signs of complex regional
pain syndrome?
How will you manage complex regional pain syndrome?
5+5