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 I
PLS/J/17/37/I
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. What are the components of ethical decision making and
principles of medical ethics?
What is informed consent?
What are levels of evidence in research?

2. How do the following structures heal:
Cut tendon
Cut nerve
Fractured bone

3. Classify malignant melanoma.
Technique of sentinel lymph node biopsy and its role in
malignant melanoma management
What is Mohs micrographic surgery?

4. Basal cell carcinoma:
Clinical presentation
Histology; and
Management algorithm.

5. Classify muscle flaps with the help of suitable diagrams.
Give two examples of each type.
How do you reduce seroma formation in muscle flap donor site?

6. Nerve blocks of the face.
Nerve blocks of the upper limb.
5+5
7. Methods of reconstructing:
¾th loss of upper eyelid.
½ loss of upper lip.
5+5
8. Pathophysiology of burn wound.
Use of hypertonic saline in burn resuscitation.
Clinical presentation of inhalational burns.

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 I
9. Enumerate differences between hypertrophic scar and keloid.
What is a contracture and why does a post burn contracture
occur?
Methods of excision of a burn wound.

10. Surgical anatomy of the gracilis muscle.
Indications of free functional muscle transfer.
Muscles used for free functional muscle transfer and why?