Flap basics
Name two methods of transfer for local flaps (ie: advancement). Extra 20 points for any additional answers.
Transposition, rotation, interpolation, free
Median superficial sural a via peroneal perforators is the blood supply for what flap
Reverse sural
The brachial plexus is composed of these spinal nerve roots
C5 - T1
Thoracodorsal a is blood supply for this flap. Bonus point for naming an additional pedicle source.
Latissimus dorsi
Posterior intercostals
Heparin-induced thrombocytopenia occurs when IgG forms complexes with this molecule
Platelet factor 4
Name (1) of the Mathes and Nahai classifications for fascial flaps. Hint: Type A, type B, type C
Type A: direct cutaneous
Type B: septocutaneous
Type C: musculocutaneous
LE bony defects greater than this measurement require vascularized bone grafts
6cm
In the distal forearm, you find this artery in the interval between BR and FCR
Radial artery
The course of the pectoralis muscle pedicle can be identified by locating these (3) landmarks when marking a patient.
Xiphoid, acromion, midpoint of clavicle
CD30 positivity on flow cytometry is indicative of this disease
Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL)
Name two Type III Mathes and Nahai flaps. Bonus 100 points for each additional.
Rectus abdominis, gluteus maximus, serratus anterior, semimembranosus
Which posterior thigh muscle is most medial?
Semimembranosus
Name the 10 structures in the carpal tunnel
FDP, FDS, FPL, median nerve
This is the blood supply of the scapular/parascapular flap. Bonus 100 points if you can name the branch that corresponds to each.
Circumflex scapular a.
Scapular: transverse branch.
Parascapular: descending branch.
The stylopharyngeus muscle is derived from this pharyngeal arch
III - only muscle from this arch!
This is the introduction of additional tissue layers into flap prior to transfer to create a composite flap
Prelamination
Superficial circumflex illiac artery is the blood supply for this LE fasciocutaneous flap
Groin flap
Posterior radial collateral artery is the pedicle for this UE flap
Lateral arm flap
Chest wall reconstruction is indicated if more than this # of ribs have been resected.
*100pt bonus if you can name the cm. Only 100pts if you can only name cm.
>4 ribs
>5cm
This syndrome is associated with venous malformations (hemangiomas) and multiple enchondromas
Maffucci syndrome
This substance is a naturally occurring anticoagulant that inhibits the conversion of fibrinogen into fibrin, but does not require antithrombin III for activation (not heparin)
Hirudin - exerted by leeches!
Medial plantary artery is situated between these two muscles.
Abductor hallicus and flexor digitorum brevis
The pedicle for this flap courses between ECU and EDM
Posterior interosseus flap (PIA)
This is anatomical fascial layer is named differently according to the zone it covers in the head. Hint: galea aponeurosis, frontalis, occipitalis
Superficial temporal fascia or temporoparietal fascia
Name all 9 anatomical subunits of the nose
Ala (2), sidewalls (2), soft triangles (2), dorsum, tip, columella