Hand Trauma: Six Core Vivas

Chapter 1 of Volume 1, Hand & Upper Limb. Revision notes and examiner-style viva questions with model answers for the FRCS (Plast).

37 viva questions in this chapter

1. Describe this photograph.
   Model answer for subscribers
2. How would you manage the middle finger — the transverse amputation with no bone exposed?
   Model answer for subscribers
3. The ring finger has exposed bone. Walk me through your options.
   Model answer for subscribers
4. When would you terminalise?
   Model answer for subscribers
5. What is a Seymour fracture and why does it matter?
   Model answer for subscribers
6. What are the complications of fingertip injuries?
   Model answer for subscribers
7. Would you replant a fingertip, or graft the amputated part back on?
   Model answer for subscribers
8. Describe this radiograph.
   Model answer for subscribers
9. What angulation is acceptable?
   Model answer for subscribers
10. How would you treat it?
    Model answer for subscribers
11. When would you operate, and with what?
    Model answer for subscribers
12. What are the complications?
    Model answer for subscribers
13. Describe this photograph.
    Model answer for subscribers
14. How would you assess this patient acutely?
    Model answer for subscribers
15. When would you repair it, and how?
    Model answer for subscribers
16. Tell me about the pulleys. Which must you preserve?
    Model answer for subscribers
17. What about a partial laceration?
    Model answer for subscribers
18. Take me through the rehabilitation.
    Model answer for subscribers
19. Tell me about tendon healing.
    Model answer for subscribers
20. What are the complications, and what would you do about a rupture?
    Model answer for subscribers
21. Describe this photograph.
    Model answer for subscribers
22. How would you examine this thumb?
    Model answer for subscribers
23. What are the numbers for the stress test?
    Model answer for subscribers
24. How would you treat it?
    Model answer for subscribers
25. What is the post-operative regime, and what are the complications?
    Model answer for subscribers
26. What is this block, and how do local anaesthetics work?
    Model answer for subscribers
27. Tell me about onset and duration.
    Model answer for subscribers
28. What are the maximum doses?
    Model answer for subscribers
29. Is it safe to use adrenaline in a finger?
    Model answer for subscribers
30. A patient becomes agitated and then fits during a block. What do you do?
    Model answer for subscribers
31. Tell me about the topical agents.
    Model answer for subscribers
32. How do wounds heal?
    Model answer for subscribers
33. How does a skin graft take?
    Model answer for subscribers
34. How do you classify flaps?
    Model answer for subscribers
35. Would you operate on a patient with Ehlers-Danlos syndrome?
    Model answer for subscribers
36. What are the relaxed skin tension lines?
    Model answer for subscribers
37. What affects wound healing?
    Model answer for subscribers