Head and neck tumours: radial forearm free flap: practice question

A ENT question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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ENT · Head and neck tumours: radial forearm free flap

Sample item

A thin pliable flap with a long vascular pedicle is chosen for reconstruction of a partial glossectomy defect. Which flap is most suitable?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

C. Radial forearm free flap

The radial forearm free flap provides thin, pliable skin on the radial artery with a long pedicle, which is ideal for tongue and floor of mouth reconstruction. An Allen test confirms ulnar artery sufficiency before harvest. The donor site is usually covered with a skin graft.

Option by option

  • A. Trapezius flap

    The trapezius flap is a bulky regional flap.

  • B. Pectoralis major flap

    The pectoralis flap is bulky.

  • C. Radial forearm free flap (correct)

    Correct. It is thin, pliable and well vascularised.

  • D. Scapular osteocutaneous flap

    The scapular flap is used when bone is needed.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More ENT questions

Questions about this ENT question

What is the answer to this ENT question?

The best answer is C, Radial forearm free flap. The radial forearm free flap provides thin, pliable skin on the radial artery with a long pedicle, which is ideal for tongue and floor of mouth reconstruction.

Why is "Trapezius flap" not the answer?

The trapezius flap is a bulky regional flap.

Why is "Pectoralis major flap" not the answer?

The pectoralis flap is bulky.

Why is "Scapular osteocutaneous flap" not the answer?

The scapular flap is used when bone is needed.

What concept does this question test?

It tests Head and neck tumours: radial forearm free flap in ENT. An Allen test confirms ulnar artery sufficiency before harvest. The donor site is usually covered with a skin graft.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Head and neck tumours: radial forearm free flap?

Learn tuning fork results and audiogram patterns by sketching them. Then use the flashcards and the other ENT questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.