FCPS Part 2 Plastic Surgery: Hand & Upper Extremity MCQs With Explanations

Sample MCQs from Hand and Upper Extremity — the single largest subject in the FCPS Part 2 Plastic Surgery bank — covering tendon injuries, nerve palsies, and carpal pathology, each with the answer explained.

Hand and Upper Extremity is the single largest subject in HighYield's FCPS Part 2 Plastic Surgery question bank by question count — a recurring focus across the written paper, clinical stations, and viva. Below is a sample spanning tendon injuries, nerve palsies, and carpal pathology.

Tendon Injuries

1. A closed injury to the central slip of the extensor tendon over the PIP joint, if untreated, classically progresses to which deformity?

A) Swan-neck deformity
B) Boutonniere deformity ✅
C) Mallet finger
D) Claw hand

Nerve Compression & Palsy

2. Weakness of pinch with an inability to form a true "OK sign" (flexion of the thumb IP and index DIP joints) is most consistent with palsy of which nerve?

A) Posterior interosseous nerve
B) Anterior interosseous nerve ✅
C) Deep branch of the ulnar nerve
D) Superficial radial nerve

3. Guyon's canal, bordered by the pisiform and the hook of hamate, transmits which neurovascular structures?

A) Median nerve and radial artery
B) Ulnar nerve and ulnar artery ✅
C) Radial nerve and radial artery
D) Median nerve and ulnar artery

Carpal Pathology

4. Kienbock's disease refers to avascular necrosis of which carpal bone?

A) Scaphoid
B) Lunate ✅
C) Capitate
D) Hamate

5. The proximal pole of the scaphoid is most vulnerable to avascular necrosis after fracture because its blood supply is:

A) Predominantly antegrade from a volar branch entering proximally
B) Predominantly retrograde, entering the bone distally and running proximally ✅
C) Supplied equally from both poles
D) Supplied directly by the radial artery at the proximal pole

Tendon & Soft-Tissue Conditions

6. De Quervain's tenosynovitis involves stenosing tenosynovitis of which structures?

A) Flexor carpi radialis and palmaris longus
B) Abductor pollicis longus and extensor pollicis brevis (first dorsal compartment) ✅
C) Extensor pollicis longus alone (third compartment)
D) Extensor digitorum communis

Looking for a Mock Exam, Not Just More Questions to Read?

If what you actually want is a timed FCPS Part 2 Plastic Surgery mock exam — not another static list to read through — that's exactly what the free sample on the Plastic Surgery question bank page gives you: the same timed, explained format as the full bank, no separate "mock test" product to buy or download.

Want to see which other subjects carry the most weight across the whole bank? Check out our most repeated FCPS Part 2 Plastic Surgery MCQs by subject. HighYield's FCPS Part 2 Plastic Surgery bank covers Hand and Upper Extremity alongside Aesthetic Surgery, Head and Neck, Breast, and Burns and Trauma, every question explained. Try the first 20 questions free, no sign-in required.