Plastic Surgery-Regional M.Ch Question Bank : web.tnmgrmu.ac.in

Name of the University : The Tamilnadu Dr. M.G.R. Medical University
Degree : MASTER OF CHIRURGIAE (M.Ch.)
Branch : Branch III – Plastic & Reconstructive Surgery
Subject Code/Name : 1602/PLASTIC SURGERY – REGIONAL
Paper : II
Document Type : Question Bank
Website : web.tnmgrmu.ac.in

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Plastic Surgery-Regional :

August 2008 :
Sub. Code: 1602
M.Ch. DEGREE EXAMINATION

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(Higher Specialities)
(Revised Regulations)
Branch III – Plastic & Reconstructive Surgery
Paper II : PLASTIC SURGERY – REGIONAL
Q.P. Code: 181602
Time: Three hours
Maximum: 100 Marks
ANSWER ALL QUESTIONS :
Draw suitable diagrams wherever necessary. :
I. Essays: (2 x 20 = 40)
1. Enumerate various forehead flaps and discuss the scalping flap.
2. Discuss management of avulsion injuries of penis and scrotum.
II. Write short notes on: (10 x 6 = 60)
1. Sternal wound dehiscence.
2. Repair of a torn ear lobule.
3. Subcondylar mandible.
4. Pre-malleolar flap.
5. Vasularised fibula flap.
6. Trap door scar.
7. Tongue flap.
8. Cauliflower ear.
9. Vacuum assisted closure.
10. Binders syndrome.

August 2009 :
I. Essays: (2 x 20 = 40)
1. Describe about pre surgical orthodontics in bilateral cleft lip and palate.
2. Describe about total penile reconstruction.
II. Write short notes on: (10 x 6 = 60)
1. Angiosomes.
2. Osteo myocutaneous flap.
3. Bone Healing.
4. Nodo venous shunt.
5. Ulnar claw hand.
6. Pedicled flaps for breast reconstruction.
7. Syndactyly.
8. Mandible reconstruction.
9. Lip reconstruction methods.
10. Defects of tendo-achillis reconstruction.

February 2011 :
I. Essays: ` 2 x 20 = 40
1. Discuss in detail the clinical features types and surgical management of fracture Zygoma.
2. Discuss the surgical procedures of reduction mammoplasty following benign hypertrophy of breast.
II. Write short notes on: 10 x 6 = 60
1. Rare cranio facial cleft.
2. Fracture nasal bone.
3. Millards cleft lip repair.
4. Surgical management of facial palsy.
5. Compart syndrome.
6. Ear lobule reconstruction.
7. Nerve injury and repair.
8. Tangential excision.
9. Burn wound infection.
10. Soft tissue injury of face.

August 2011 :
I. Elaborate on :
1. What are the flaps based on the Inferior Epigastric Artery System? Discuss briefly the technical points in elevation of these flaps.
2. How do you go about managing total loss of ear in adults? What are the problems encountered in reconstructing ear in Adults. What is the role of fascia in ear construction?
II. Write notes on :
1. Latissimus dorsi flap – technical points in raising this flap.
2. Management of naso ethmoidal fracture with CSF rhinorrhoea.
3. Muscular anatomy of lip with relevance to Plastic surgery.
4. Management of pre sternal keloids.
5. Fracture penis management and outcome.
6. Management of Cleft lip nose in adults.
7. High flow vascular malformations of face in children – problems and management outcome.
8. Problems and timing of repair in thoracic Meningomyelocoele.
9. SMAS layers of face and their relevance to Facelift Surgery.
10. Inverted Nipple; timing of repair and management principles.

August 2012 :
I. Elaborate on : Pages Time Marks
1. Describe signs and symptoms of orbital floor fracture. How do you investigate a case of orbital floor fracture? Discuss the indication for surgery and different techniques to access orbital floor. Discuss advantages and disadvantages of different orbital floor implants.

2. Discuss the criteria for diagnosis of sepsis in burns. How is it different from Systemic Inflammatory Response Syndrome? Define wound sepsis, Describe signs of wound sepsis and different techniques for wound culture. Discuss silver based topical antimicrobials.

II. Write notes on :
1. Describe principles of lip reconstruction. Discuss management of loss of 50% of upper lip.
2. Discuss reverse sural artery flap. Describe methods to increase the extent of flap and decrease the post operative complications.
3. Describe anatomy of zygoma. Discuss treatment of fracture zygoma.
4. Classify maxillary and midfacial defects. Discuss treatment of type III defect.
5. Discuss management of post cardiac surgery sternal wound dehiscence.
6. Supraclavicular flap.
7. Discuss toe flaps and toe transfer.
8. Describe and classify basal carcinoma. Discuss management of incompletely excised basal carcinoma.
9. Describe anatomy of medial canthus. Discuss techniques of medial canthopexy.
10. Discuss treatment of ischial pressure ulcer.

August 2013 :
I. Elaborate on :
1. What are pressure sores? Describe the causes, prevention and management of pressure sores. Describe the surgical management of trochanteric ulcer.
2. Describe the management of cut flexor tendon injuries of the hand.

II. Write notes on :
1. Hydradenitis suppurativa.
2. Ptosis.
3. Classify peripheral nerve injuries and repair.
4. Fracture nasal bone.
5. Compartmental Syndrome.
6. TRAM flap.
7. Bat ear.
8. Genio plasty.
9. Reverse sural artery flap.
10. Delay of flaps.

February 2014 :
I. Elaborate on :
1. Describe evaluation of Bilateral Cleft Lip and Palate with protruding Premaxilla in a neonate. Discuss multidisciplinary approach in management. Describe a Surgical procedure for closure of the Cleft Lip in this child.

2. Discuss aetiology and Classification of mandible defects. Describe Various methods of Mandible Reconstruction. Add a note on Donor site morbidity when autologous tissues are used.

II. Write Notes on :
1. Naso ethmoidal Fractures
2. Triage in Mass casualty of Burns
3. Camptodactyly
4. Timing of Surgery in Adult Brachial Plexus Injuries
5. Treacher Collins syndrome
6. Epidermolysis Bullosa
7. Bifid Nose
8. Epicanthus
9. 50 % Mid defect of Lower lip
10.Implants for treating Lagopthalmos