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Orthopedic End-Posting MCQs (Group 4 & 5)

1) Regarding open fracture of tibia :


a.

It is caused by high velocity injury T

b.

Loss of 2-3 litres of blood F (1 litre)

c.

External fixator is the treatment T

d.

Common organism is the Streptococcus Epidermidis F (aureus)

e.

Anaerobic infection is the common in farmer T (soil contaminated)

2) Loss of consciousness in bilateral femur #


a.

Hypovoleamic shock T

b.

Pneumothorax F (chest pain, SOB)

c.

Subarachnoid haemorrhage F (thunderclap headache)

d.

Fat embolism syndrome T

e.

#-dislocation C5-6 F (quadriplegia)

3) The incidence of vessel injury is higher in the following


a.

scapula-thoracic dislocation T (brachial artery, subclavian artery)

b.

shoulder dislocation T (axillary artery)

c.

supracondylar femoral # T (popliteal artery)

d.

knee dislocation T (popliteal artery)

e.

mid shaft humeral # T (brachial artery)

4) Regarding peripheral nerve of upper limb


a.

supination of forearm in flexed elbow is contributed by median nerve F (biceps

musculocutaneous)
b.

Anconeus muscle is supplied by ulnar nerve F (radial nerve)

c.

Abductor digiti minimi is supplied by ulnar nerve T

d.

e.

Lesion of median nerve at wrist causes pointing finger F (at elbow)

6) Disruption of shenton line are due to


a.

NOF# T

b.

septic arthritis F

c.

DDH T

d.

AVN of femoral head F

e.

Slipped capital femoral epiphyseal F

7) Unstable lumbar # includes


a.

Chance # T

b.

anterior wedge # F

c.

burst # T

d.

spinous process # F

e.

transverse process # F

8) Regarding the examination of hip


a.

SLRT is used to assess fixed flexion deformity F (Thomas Test)

b.

bryants triangle used to measure abduction deformity T

c.

Lumbar lordosis increased correspond to fixed flexion deformity T

d.

Apparent shortening of lower limb is ipsilateral to the deformity T

e.

True shortening is the cause of DDH F (apparent due to dislocation)

10) Perthess disease


a.

common in children <10 yo T (4-8)

b.

AVN of distal femoral epiphysis F (proximal)

c.

more common in girls F (boys)

d.

X-ray -> thinning of capital femoral epiphysis T (fragmentation and flattening)

e.

associated with obesity F (this is in slipped upper femoral epiphysis)

11) Increase in osteoclastic activity and bone resorption


a.

osteogenesis imperfecta F (failure of collagen III to I)

b.

osteopetrosis F (failure of osteoclasts)

c.

osteoporosis T

d.

uncompensated osteomalacia F (reduced mineralization of Ca)

e.

hyperparathyroidism T

15) Organisms isolated in septic arthritis of IV drug user


a.

Staph aureus F

b.

Pseudomonas aeruginosa T (also E. coli)

c.

Diplococci F (Neisseria gonorrhea in young adults)

d.

Strep F

e.

Haemophilus influenzae F

17) Radiographic changes in chronic OM


a.

Changes from previous X-ray T

b.

Poorly defined area of osteolytic F (well defined)

c.

Thin linear periosteal reaction F (dense)

d.

Sequestration T

e.

Onion peeling F (this is in Ewings sarcoma)

19) Radiological feature of non-accidental injury include :


a.

excessive callus formation T

b.

posterior rib fracture T

c.

multiple fracture with different stage of healing T

d.

metaphyseal corner fracture T

e.

short oblique fracture T

20) True combination of fracture-dislocation and nerve injury


a.

hip dislocation - sciatic nerve T

b.

shoulder dislocation radial nerve F (axillary nerve)

c.

supracondylar fracture ulnar nerve F (median nerve AIN)

d.

wrist dislocation median nerve T

e.

Fibular neck fracture peroneal nerve T

21) Regarding the femur fracture in children


a.

fracture in non-walker suggests child abuse T

b.

fat embolism syndrome is more common than in adult F (marrow is more in children)

c.

shortening 2-3cm with normal function is acceptable T

d.

is better treated with traction than spica cast T

e.

Surgery is indicated in polytrauma T (ORIF)

22) Achilles tendinitis


a.

Associated with inappropriate footwear F (overuse, activity)

b.

Induced by plantarflexion against resistance T

c.

Tendon rupture is complication T

d.

Steroid injection in chronic case T

e.

plantar heel pad is contraindicated F (indicated is a treatment)

23) Regarding elbow dislocation


a.

elbow triangle is preserved F (lost)

b.

coronoid process fracture is an association T

c.

brachial artery injury is an association T

d.

elbow is immobilized in extension F (in 90 degrees flexion)

e.

myositis ossificans is a late complication T

24) AVN following fracture occurs in


a.

head of femur T

b.

medial femoral condyle T (also in femoral and humeral condyles)

c.

avulsion posterior tibial spine F

d.

neck of talus F (body of talus)

e.

base of 5th metatarsal F (in proximal scaphoid, lunate)

25) Drug in musculoskeletal


a.

COX-2 causes cardiovascular problem T

b.

gabapentin is used for neurapathic pain T

c.

Indomethacine is used to inhibit myositis ossificans T

d.

Alendronite is used for osteoporotic # T (bisphophonate)

e.

Glucosamine is used for early OA T

Osteomalacia
a.

As a result of low vit A F (vitamin D)

b.

Cause proximal myopathy T (muscle weakness)

c.

Cause pseudo# T (new bone formation over what looks like an incomplete fracture)

d.

Increased serum Ca2+ F (reduced)

e.

Diseases that commonly occur around the knee joint


a.

Osteoid osteoma in young T

b.

Osteosarcoma in young T

c.

Chondrosarcoma F (scapula and pelvis)

d.

Enchondroma F (hand)

e.

Bursitis T (maids knees, bakers cyst)

What are the X-rays should be taken in patient with cervical injury
a.

Flexion-extension F (can worsen injury)

b.

Oblique F

c.

Swimmer T

d.

Lateral T (also AP)

e.

Open mouth T

X-ray findings in gout


a.

T (soft tissue swelling)

b.

T(asymmetric juxta-articular punched-out cyst)

c.

T(narrowed joint space)

d.

T (secondary OA)

e.

RA
(morning stiffness, bilateral, 3 or more, hands & feet, >6wk, RF, rheumatoid nodule,
radiograph changes --> soft tissue swelling, periarticular erosion/osteoporosis, deformity)