SENIOR LECTURER IN PLASTIC AND RECONSTRUCTIVE SURGERY- MEDICAL EDUCATION

PROVISIONAL ANSWER KEY
Question Paper Code: 105/2017/OL
Category Code: 154/2017
Exam: Sr Lecturer in Plastic and Reconstructive Surgery
Medium of Question: English
Date of Test 16-01-2018
Department Medical Education
Alphacode A
Question1:-The Kerala river mentioned in the Arthasatra of Koudillya
A:-Pamba
B:-Achankovilaru
C:-Bharathapuzha
D:-Periyar
Correct Answer:- Option-A
Question2:-The author of Mukunthamala
A:-Kalidasa
B:-Panini
C:-Pathanjali
D:-Kulasekara Alwar
Correct Answer:- Option-B
Question3:-Name of the first Geoinformatic Panchayath in Kerala
A:-Narikkuni
B:-Kalpakanchery
C:-Aruvikkara
D:-Meppadi
Correct Answer:- Option-C
Question4:-The largest producer of rice
A:-Indonasia
B:-India
C:-China
D:-America
Correct Answer:- Option-C
Question5:-Present Chief Election Commissioner of India
A:-Naseem Saidi
B:-A. Sambath
C:-T. Krishnamachari
D:-Achalkumar Jyothi
Correct Answer:- Option-D
Question6:-The last Indian state which accepted GST
A:-Jammu and Kashmir
B:-Kerala
C:-Assam
D:-Tamil Nadu
Correct Answer:- Option-A
Question7:-The west flowing rivers is one of the following
A:-Narmada
B:-Kaveri
C:-Krishna
D:-Godavari
Correct Answer:- Option-A
Question8:-The hilly areas of north eastern state bordering the Myanmar is known as
A:-Sivalic
B:-Purvanchal
C:-Himadri
D:-Himachal
Correct Answer:- Option-B
Question9:-The rainy season starts in Tamil Nadu during the winter season. The main reason is
A:-South west monsoon
B:-Temperate cyclone
C:-North east monsoon
D:-Local winds
Correct Answer:- Option-C
Question10:-One of the soils in Kerala formed due to alternate hot and wet season
A:-Alluvial soil
B:-Red soil
C:-Black soil
D:-Laterite soil
Correct Answer:- Option-D
Question11:-Nebular theory is connected with
A:-Immanuel Kant
B:-Edwin Hubble
C:-Sir Harold Jeffry
D:-Sir James Jean
Correct Answer:- Option-A
Question12:-The only one classical dance which include cultural aspect of Hindus and Muslims
A:-Oddissi
B:-Kathak
C:-Satriya
D:-Kuchuppudi
Correct Answer:- Option-B
Question13:-The birth place of Tunchat Ezhuthachan
A:-Kaladi
B:-Trissivapperur
C:-Tirur
D:-Ponnani
Correct Answer:- Option-C
Question14:-Name the Indian city which is recently declared world heritage site by UNESCO
A:-Alahabad
B:-Old Delhi
C:-Calicut
D:-Ahammadabad
Correct Answer:- Option-D
Question15:-The residence name of S. K. Pottakkad
A:-Chandrakantham
B:-Sankaramangalam
C:-Indeevanam
D:-Sadgamaya
Correct Answer:- Option-A
Question16:-The poet known as Mahakavi of Mappilappatu and the author of ‘Badarul muneer and Husnul Jamal’
A:-Baburaj
B:-V. M. Kutty
C:-Moinkutty Vaidyar
D:-Nor Muhammed
Correct Answer:- Option-C
Question17:-The viral disease which affect lungs
A:-Dengue
B:-H1N1
C:-Weils disease
D:-Chikkunguinia
Correct Answer:- Option-B
Question18:-The founder of Sadhu Jana Paripalana Sangam
A:-Ayyankali
B:-Chattambi Swamikal
C:-Vagbatananta
D:-Veluthambi
Correct Answer:- Option-A
Question19:-Sree Nayayana Guru consecrated a Siva idol in 1888 by shocking the orthodox section at
A:-Mannanam
B:-Aruvippuram
C:-Vaikom
D:-Paliam
Correct Answer:- Option-B
Question20:-The movement of Vakkom Abdul Khader Moulavi is
A:-Muslim league
B:-Malabar Muslim Sabha
C:-Muslim Service Society
D:-Travencore Muslim Maha Jana Sabha
Correct Answer:- Option-D
Question21:-Lesions in the oral cavity having high potential for malignant transformation are all of the following except
A:-Erthroplakia
B:-Speckled erythroplakia
C:-Chronia hyperplastic candidiasis
D:-Oral lichen planus
Correct Answer:- Option-C
Question22:-Most common site of hypospadias is
A:-Coronal
B:-Penile
C:-Scrotal
D:-Perineal
Correct Answer:- Option-A
Question23:-The most accepted mechanism of wound contraction is attributed to
A:-Fibroblast
B:-Myofibroblast
C:-Collagen
D:-Cell division
Correct Answer:- Option-B
Question24:-The function of Z-plasty is
A:-To lengthen a scar
B:-To break up a straight line
C:-To change the direction of scar
D:-All of the above
Correct Answer:- Option-D
Question25:-The first instrument built specifically for harvesting of skin graft was developed by
A:-Humby
B:-Reverdin
C:-Padget
D:-Blair
Correct Answer:- Option-A
Question26:-Primary contraction is more in
A:-Thin split thickness graft
B:-Intermediate split thickness graft
C:-Thick split thickness graft
D:-Full thickness graft
Correct Answer:- Option-D
Question27:-In proliferative phase, which type of collagen is laid down ?
A:-Type I
B:-Type II
C:-Type III
D:-Type IV
Correct Answer:- Option-C
Question28:-Commonest nerve for nerve graft is
A:-Common peroneal nerve
B:-Sural nerve
C:-Deep peroneal nerve
D:-Musculocutaneous nerve
Correct Answer:- Option-B
Question29:-Oral cavity proper containes all except
A:-Floor of mouth
B:-Hard palate
C:-Posterior 1/3 tongue
D:-Anterior 2/3 of tongue
Correct Answer:- Option-C
Question30:-Precursor skin lesions may be present in all the following cutaneous malignancies except
A:-Squamous cell carcinoma
B:-Basal cell carcinoma
C:-Melanoma
D:-Angiosarcoma
Correct Answer:- Option-D
Question31:-Necrolytic migrating erythemous dermatitis is feature of
A:-Zollinger-Ellison syndrome
B:-Verner-Morrison syndrome
C:-Glucagonoma syndrome
D:-Insulinoma
Correct Answer:- Option-C
Question32:-The neo-epidermis of a scar of healed wound avulses easily and is more fragile than normal skin because of
A:-Deficiency of collagen in scar
B:-Increased fibroblasts at site
C:-Increased capillary network
D:-It is devoid of rete pegs
Correct Answer:- Option-D
Question33:-PET scan detect malignant lesion by picking up
A:-Areas of increased vascularity
B:-Areas of hypermetabolic activity
C:-Areas of tissue necrosis
D:-Areas of microcalcification
Correct Answer:- Option-B
Question34:-Out of the following, which one is usually not an axial pattern flap ?
A:-Inter polation flap
B:-Forehead flap
C:-Deltopectoral flap
D:-Groin flap
Correct Answer:- Option-A
Question35:-Following are the flaps that rotate about a pivot point, except
A:-V-Y advancement flap
B:-Interpolation flap
C:-Rotation flap
D:-Transposition flap
Correct Answer:- Option-A
Question36:-Following requirements are essential for a Limberg’s flap except
A:-The adjacent skin should be loose
B:-The defect may be in any shape
C:-The opposing angles are of equal size
D:-It should have angles of 60 and 120 degree
Correct Answer:- Option-B
Question37:-In Z-Plasty 100 perent theoretical gain in length is achieved with angles of
A:-45-45
B:-60-60
C:-75-75
D:-90-90
Correct Answer:- Option-C
Question38:-In the Mathes and Nahai classification Pectoralis Major and Latissimus Dorsi Muscles belong to
A:-Type II
B:-Type III
C:-Type IV
D:-Type V
Correct Answer:- Option-D
Question39:-The classification of nerve injuries was originally proposed by
A:-Sunderland
B:-Seddon
C:-Mackinnon
D:-Myckatyn
Correct Answer:- Option-B
Question40:-The most aggressive type of Basal Cell carcinoma is
A:-Nodular
B:-Superficial
C:-Morpheaform
D:-Pigmented
Correct Answer:- Option-C
Question41:-Which of the following statements is not true for Marjolin’s ulcer ?
A:-It is a squamous cell carcinoma
B:-It develops in an area of chronic inflamation and scarring
C:-It carries a risk of metastasis of nearly 50%
D:-It does not spread to regional lymphnodes
Correct Answer:- Option-C
Question42:-Not true for Groin Flap
A:-It is a hairy flap
B:-It is an axial flap
C:-It is based on superficial circumflex iliac artery system
D:-Usually the donor defect is closed primarily
Correct Answer:- Option-A
Question43:-The surgical technique of total excision of lymphoedematous tissue and skin grafting is known as
A:-Thompson procedure
B:-Sistrunk’s operation
C:-Homan’s procedure
D:-Charle’s procedure
Correct Answer:- Option-D
Question44:-Tarsal tunnel syndrome presents as symptoms of compression of
A:-Common peroneal nerve
B:-Superficial peroneal nerve
C:-Posterior tibial nerve
D:-Deep peroneal nerve
Correct Answer:- Option-C
Question45:-According to Gustilo classification, the compound fracture of tibia with soft tissue loss and exposed bone is
labeled as
A:-Type II
B:-Type III B
C:-Type III
D:-Type III A
Correct Answer:- Option-B
Question46:-In carcinoma breast patient absolute contraindications to breast conservation are the following except
A:-Multiple ipsilateral lesions
B:-Diffuse suspicious microcalcifications
C:-Steroid dependant collagen vascular disease
D:-Radiation induced
Correct Answer:- Option-D
Question47:-True statements for butolinum toxin A are the following except
A:-Clinically the beneficial effects of the toxin are apperest for more than one year
B:-Injection of botulinum toxin A are the most frequently performed cosmetic procedure in the United States
C:-Dr. Alan Scott, and ophthalmologist, pioneered the use of botulinum toxin A in humans
D:-It has been successful used to treat spasn of sphimeter of Oddi
Correct Answer:- Option-A
Question48:-Level VI cervical nodes drain the following except
A:-Thyroid
B:-Glothic/Subglothic Larynx
C:-Pyriform sinus apex
D:-Naso phanynx
Correct Answer:- Option-D
Question49:-Following are the signs and symptoms of fracture except
A:-Absence of stepping in the infraorbital margin
B:-Asymmetry of the malar region
C:-Anaesthesia in the infraorbital region
D:-Presence of trimus
Correct Answer:- Option-A
Question50:-Unilateral cleft lip result from failure of fusion of
A:-Lateral nasal process and maxillary prominence
B:-Median nasal process and maxillary prominence
C:-Median nasal process and mandibular process
D:-None of the above
Correct Answer:- Option-B
Question51:-Which of the following is not true for a patient seeking lower lid blepharoplasty ?
A:-A Schirmer I test showing less than 10 mm at 5 minutes would be a relative contra indication
B:-A ‘snap’ test should always be performed
C:-Excess skin below the level of the orbital margin is usually corrected by lower lid blepharoplasty
D:-Blindness is a rare but recognised complication
Correct Answer:- Option-C
Question52:-Le fort II facial fracture, by definition involves
A:-The orbital floor always
B:-The orbital floor sometimes
C:-The cribriform plate always
D:-All of the above
Correct Answer:- Option-A
Question53:-Common findings in submucus cleft are the following except
A:-A bifid uvula
B:-Velophayngeal in sufficiency
C:-A notched posterior hard palate
D:-Muscular diastasis of the velum
Correct Answer:- Option-B
Question54:-In complete bilateral cleft of the lip and palate, the protruding premaxilla is attached to
A:-Right palatal shelve
B:-Left palatal shelve
C:-Vomerine bone
D:-Ethmoid bone
Correct Answer:- Option-C
Question55:-In Pierre Robin sequence, the cleft palate should be repaired
A:-At 9 months
B:-At 12 months
C:-At 15 months
D:-Repair is delayed as compared to other cleft palate closures
Correct Answer:- Option-D
Question56:-In the repair of cleft lip, upper lip Z-plasty is included in
A:-Rose Thompson repair
B:-Millard’s repair
C:-Randall Tennison repair
D:-Skoog repair
Correct Answer:- Option-C
Question57:-Following statements are true for Carpenter syndrome, except
A:-Head is asymmetric
B:-It is not a genetic disorder
C:-Presence of partial syndactyly of digits
D:-Preaxial polysyndactyly of the feet
Correct Answer:- Option-B
Question58:-Not true for teacher Collins syndrome
A:-Unilateral hypoplasia of the body and arch of zygoma
B:-Significantly increased facial convexity
C:-Mandibular hypoplasia
D:-External and middle ear anomalies
Correct Answer:- Option-A
Question59:-Following signs and symptoms are commonly present in zygomatic fractures, except
A:-Trismus
B:-Involvement of infraorbital nerver
C:-Enophthalmos
D:-Increased malar prominence
Correct Answer:- Option-D
Question60:-Vertically favourable fracture of the mandible should usually be treated with
A:-Rigid fixation using plate and screws
B:-Interosseous wiring
C:-Interdental wiring
D:-Mandibulo-maxillary fixation
Correct Answer:- Option-D
Question61:-Usually the plane of cleavage of scalp avulsion is
A:-Subcutaneous layer
B:-Galer aponeurotica
C:-Loose areolar tissue
D:-Subperiosteal layer
Correct Answer:- Option-C
Question62:-The largest vessel supplying the scalp are
A:-Supratrochlear arteries
B:-Supraorbital arteries
C:-Superficial temporal arteries
D:-Occipital arteries
Correct Answer:- Option-C
Question63:-True for scalp skin, except
A:-It is the thickest skin on the body
B:-Thickness ranges between 3 and 8 mm
C:-Beneath the skin lies the subcutaneous tissue layer, which contains follits
D:-It is not connected to the galea aponeurotica
Correct Answer:- Option-D
Question64:-Following statements are true for the galea aponeurotia in the scalp except
A:-It is part of a broad fibromuscular layer that envelops the forehead and scalp
B:-It serves as the central tendinous confluence of the occipital muscle posteriorly and frontalis muscle anteriorly
C:-It does not have any attachment to the overlying skin
D:-It is continuous with the tempro parietal fascia
Correct Answer:- Option-C
Question65:-Most common site of fracture of mandible is
A:-The neck of the condyle
B:-Angle of the mandible
C:-In the region of the canine teeth
D:-Symphysis menti
Correct Answer:- Option-A
Question66:-Craniofacial dysjuction is seen in fracture maxilla type
A:-Le Fort I
B:-Le Fort II
C:-Le Forte III
D:-Vertical Fracture
Correct Answer:- Option-C
Question67:-Not true for blow out fractures of the orbit
A:-Presence of Enoplthalmous
B:-Diplopia
C:-Restriction of upward rotation of robit
D:-Presence of fracture in the inforaobital rim
Correct Answer:- Option-D
Question68:-Which answer is true regarding structural fatgrafting ?
A:-It should never be used in the nose
B:-It can be used to augment midface hypoplasia
C:-It cannot be used for breast augmentation without the Brava® device
D:-HIV is an absolute contraindication
Correct Answer:- Option-B
Question69:-Commonest cause of Burns in Children <5 years old A:-Electric B:-Flame C:-Scalds D:-Chemical Correct Answer:- Option-C Question70:-High voltage electric burn is when the voltage is A:-≥ 220 V B:-≥ 1000 V C:-≥ 11000 V D:-≥ 33000 V Correct Answer:- Option-B Question71:-Amount of fluid used for resuscitation in Burn patient using parkland formula is A:-1 ml/kg/% TBSA B:-2 ml/kg/% TBSA C:-3 ml/kg/% TBSA D:-4 ml/kg/% TBSA Correct Answer:- Option-D Question72:-Traditional classification of hemorrhagic shock a blood loss 30-40% is labled as A:-Class I shock B:-Class II shock C:-Class III shock D:-Class IV shock Correct Answer:- Option-C Question73:-Complications of massive blood transfusion include all except A:-Coagulopathy B:-Hypocalcemia C:-Hyperkalemia D:-Hyperthermia Correct Answer:- Option-D Question74:-In major acute burn patients, changes in glucose metabolism include A:-Increased serum glucose and increased serum insulin B:-Increased serum glucose and decreased serum insulin C:-Decreased serum glucose and increased serum insulin D:-Decreased serum glucose and increased serum insulin Correct Answer:- Option-A Question75:-The rule 9s for the extent of surface area involvement in burns was described by A:-Thiersch B:-Parkland C:-Wallance D:-Evans Correct Answer:- Option-C Question76:-Analgesic of choice for acute burn is A:-Oral NSAID B:-IV NSAID C:-IV OPIATES D:-None of the above Correct Answer:- Option-C Question77:-Burn injury to skin, subcutaneous fat into underlying muscle or bone is classified as A:-II degree burn B:-IV degree burn C:-III degree burn D:-V degree burn Correct Answer:- Option-B Question78:-All are resuscitation formula used for calculating fluid requirement in burn patients except A:-Parkland formula B:-Berknow formula C:-Galveston formula D:-Brooke formula Correct Answer:- Option-B Question79:-Deep partial thickness burns will heal in A:-7-10 days B:-10-14 days C:-14-21 days D:-More than 21 days with contractures Correct Answer:- Option-D Question80:-Full thickness burns are charactised by the following except A:-Presence of blisters B:-Brown, black surface C:-Leathery look D:-Insensate Correct Answer:- Option-A Question81:-Suggested 'ideal' breast measurements in the context of inferior pedicle breast reduction surgery do not include A:-Sternal notch to nipple distance of 21 cm B:-Inter-nipple distance 21 cm C:-The nipple to inframammary fold distance of 3.4 cm D:-Areolar diameter 4 cm Correct Answer:- Option-C Question82:-In the management of chemical burns, the following first aid should be done except A:-Removal of the inciting agent B:-Contaminated clothes should be removed C:-Neutralization of the inciting agent should be done D:-Affected skin should be copiously irrigated with water Correct Answer:- Option-C Question83:-Clinodactyly and camptodactyly are examples of A:-Failure of formation of parts B:-Failure of differentiation or separation of parts C:-Duplication D:-Overgrowth Correct Answer:- Option-B Question84:-Most common type of thumb duplication is A:-Bifid distal phalanx B:-Duplicated distal phalanx C:-Bifid proximal phalanx D:-Duplicated proximal phalanx Correct Answer:- Option-D Question85:-Following statements are true for macrodactyly, except A:-Single or multiple digits can be involved B:-The little finger is most frequently affected C:-The defect is more common in males D:-Majority of cases are unilateral Correct Answer:- Option-B Question86:-True for Dupuytren's disease except A:-It is the development of scar tissue in the palm and digits B:-The scar tissue contains normally occurring type 1 collagen C:-The cords of scar result in the contraction of the metacarpophalangeal joints D:-It may result inpseudo boutonniere deformity Correct Answer:- Option-B Question87:-Absolute contraindication to replantation is A:-Patient's advanced age B:-Avulsion injuries C:-Multiple injuries within the amputation part D:-Prolonged warm ischaemia time Correct Answer:- Option-C Question88:-The most frequent indication for tendon transfer is A:-Poliomyelitis B:-Paralysis of healthy muscle, usually from nerve injury C:-Treating spastic disorders D:-Injury to the muscles Correct Answer:- Option-B Question89:-Strong contraindications to elective thumb reconstruction include the following except A:-Significant vascular disease B:-Short life expectancy C:-Unreconstructable sensory loss D:-High patient expectations Correct Answer:- Option-D Question90:-True for carpal tunnel syndrome, except A:-It is a neurological disorder median nerve B:-It is typically first manifested by numbers of the middle finger and adjacent side of the ring finger C:-It occurs more frequently among women D:-As the duration increases numbers extends into the thumb and index finger Correct Answer:- Option-A Question91:-Kaplan's cardinal line is formed by A:-Palmer creases of hand B:-A line draw from the apex of the first web space to the edge of pisciform bone C:-A draw from hook of hallmark to pisciform bone D:-Life lines on ulnar aspect of hand Correct Answer:- Option-B Question92:-Felon is A:-Parona's space infection B:-Also known as pyogenic flexor tenosynovitis C:-Subcutaneous abscess of the distal pulp of finger D:-Deep palmer arch infection Correct Answer:- Option-C Question93:-Which zone of hand is also known as 'no man's land' ? A:-Zone II flexor tendon system B:-Zone II extensor tendon system C:-Zone IV extensor tendon system D:-Zone IV flexor tendon system Correct Answer:- Option-A Question94:-In the process of breast implant selection, the following are important except A:-Soft tissue quality B:-Bra and cup size C:-Implant volume D:-Implant shape Correct Answer:- Option-B Question95:-Kienbock disease is A:-Avascular necrosis of lunate B:-Avascular necrosis of hook of hamate C:-Avascular necrosis of neck of femur D:-Avascular necrosis of capitates Correct Answer:- Option-A Question96:-Which of the test is done for median nerve injury ? A:-Forments test B:-Jeanne's sign C:-Wartenberg's sign D:-None of the above Correct Answer:- Option-B Question97:-Dominant pedicle to Tensor Fascial lata is A:-Ascending branch of deep femoral circumflex artery B:-Branch from obdurate artery C:-Descending branch of inferior epigastria artery D:-Ascending branch of lateral femoral circumflex artery Correct Answer:- Option-D Question98:-The anterolateral thigh perforator flap in first reported by A:-Mathes and Nahai B:-Beck and Song C:-Mcgreger D:-H. Gilles Correct Answer:- Option-B Question99:-Thoracdorsal artery perforater flap was first described by A:-Angrigiani B:-Bakamjian C:-PC Neligan D:-Song Correct Answer:- Option-A Question100:-Singapore flap technique used reconstruction of which structure ? A:-Penis B:-Vagina C:-Scrotun D:-Pressure ulcer defect Correct Answer:- Option-B