Q6) A 6 year old boy has a 2 cm lesion on Right cheek. The lesion has been enhancing since birth. On Auscultation lesion is pulsatile, it has a thrill and it has a harsh sound on auscultation. It has multiple feeding arteries. The best treatment option for this lesion would be
a) External beam radiotherapy
b) Ligation of the feeding arteries
c) LASER therapy
d) Embolisation followed by surgery
Q7) An ulcer which has a raised everted edge is
a) Ischemic ulcer
b) Malignant ulcer
c) Healing Ulcer
d) Neurotropic Ulcer
Q3) Not true about W plasty in scar revision
a) W plasty converts a long lengthy incision to several irregular incisions
b) Small triangular flaps are created on the opposite side with sides not more than 6 mm
c) Outer triangles must be larger in both sides
d)Corner angles should be less than 60 degree
Q4) Fastest promoter of epithelisation in wound healing occurs with
a) Tight approximation of wound edges
b) Occlusive dressing
c) Leaving the wound open
d) Steroid Application
Q5) In patients who have undergone closed suction lipectomy, the best results are seen with
a) Lax skin
b) Excess skin folds
c) Good bony contour
d) Female sex
Answers
6) d
The lesion is a haemangioma and quite large in size. Since it has multiple feeding arteries, it would be better to embolise the lesion, shrnik it and then go for complete excision.
7) b
Raised everted edge is seen in Squamous Cell Carcinoma
3)d
Corner angles should not be more than 90degrees.
W plasty is used for revision of large irregular scars, semicircular and curvilinear incisions.
4) b
Occlusive dressings come in the form of 1) films, 2) hydrogels, and 3) hydrocolloids.
They are associated with the highest rate of epithelisation
5.) a
A patient with a lax and supple skin gives the best results after closed suction lipectomy