Professional Documents
Culture Documents
1. Regarding osteoarthritis
a. It is a non-inflammatory joint dz T (degenerative disease)
b. The pathogenesis involve increased hydration of articular cartilage F
c. The reparative process results in osteophyte formation T
d. The primary generalized type involve small joint of hand F
e. Synovectomy is one of the treatment F (synovectomy is for RA)
2. Regarding osteoporosis
a. Hypocalcaemia is a known cause F
b. The coupling action of osteoblast and osteoclats is lost T
c. Calcitonin is given in acute cases of fracture T (Calcitonin in a dose of 50
to 100 IU daily, given subcutaneously or intranasally, should be offered to
all patients with serious pain related to acute vertebral fractures for
symptom relief and to facilitate mobilization)
d. Selective estrogen receptor modulator have increased risk of venous
thromboembolism T
e. Vertebroplasty is a therapy for fractures of vertebrae body T
(Vertebroplasty is a valuable tool in the treatment of painful osteoporotic
vertebral fractures, providing acute pain relief and early mobilization in
appropriate patients)
3. Regarding carpal tunnel syndrome
a. It is known as ulnar neuropathy of the wrist F
b. Clinically the patient is unable to flex the PIPJ of index finger F
c. Compression test performed over the transverse carpal ligaments is
diagnostic T
d. Pregnancy is one of its causes T
e. In diabetics, carpal tunnel released is the preferred treatment T
4. Regarding anterior cruciate ligaments injury
a. It is cause by a posteriorly directed force to the front of tibia T
b. Occurs more commonly among female athletes T
c. It predisposes to early osteoarthritis T
d. It is usually associated with medial meniscus injury T
e. The avulsion type is treated with screw fixation T
5. Regarding osteomyelitis
a. Trauma is a predisposing factor T
b. In young children, haemohilus influenza is the common pathogen T-x
c. Ceftazidime is the antibiotic of choice T (third gen)-x
d. Sequestrum is a layer of new bone growth outside existing bone F
e. Joint dislocation is one of its complication F
6. Regarding developmental dysplasia of hip (DDH)
a.
b.
c.
d.
e.
T,F,T,T,F
2. Regarding # of humerus
A. surgical neck of humerus is a common # site
B. open # is treated w IF & antibiotic
C. radial nerve is the most common nerve to be injured
D. can be treated w U-slab
E. lat. Condyle is # > common then medial condyle
T,T,T,T,T
3. Shoulder dislocation
C. Axillary view can diff. Between post dislc. & ant.
E. Habitual dislocation is painless
T,T
5. Regarding open #
A. tibia > common
B. grade 3C high risk of amputation
C. grade 1A can be primarily sutured
D. external fixator can be use if skeletal traction not available
A.
B.
C.
D.
E.
A.
B.
C.
D.
E.
7. Regarding Perthes ds :
genetic factor has a role in its pathogenesis
occurs frequently in male
patient is typically obese
medial knee pain is one of its presentation
worse prognosis in younger age
8. Regarding # of tibia and fibula :
A. Pilon # is a # of intraarticular T
9. # of tibia
A. a/w lower fibula # causes ankle instability
B. # of distal tibia is a/w delayed or non-union
C. pilon # is an intraarticular # of distal tibia
D. PTB cast is appropriate for distal tibia #
10. Regarding # neck of femur
A. extracapsular # carries better prognosis
B. the affected leg is adducted
C. garden 2 # is a partially displaced #
T,F,F,T,T
F,T,F,F,F
T,T,T,T
F,F,T,T,T
15. Chronic OM
A. chronic d/c is pathognomonic
B. it may follow close # if treated w internal fixation
C. radiologically may mimic Ewing sarcoma
D. pathological # is a known cx
E. prolonged antibiotic w/out surgery is usually sufficient for treatment
16. Regarding OA of the knee
F,T,F,T,F
T,F,T,F,T
D- technetium is diagnostic
E- infected implant must removed eventhouh non-union
3- Septic arthritis
A- is an emergency
B- X-ray of the hip helps in diagnosis
D- ultrasonography is a diagnostic
E- Tx with Ab and joint aspiration
4- Regarding diabetic foot
A- trauma ulcer d/t loss of sensory
B- Claw toes d/t autonomic neuropathy
C- Blood sugar level hard to control
D- peripheral vascular pulse example reliable in diagnostic level of amputation
T,F,T,T
5. Recognised features of polymyalgia rheumatica include
A- weakness of distal muscle group
B- elevated serum creatinine kinase activity
C- is associated with bronchial CA
D- weight loss
E- peak incidence in 4th decade of life
7. Regarding prolapsed intervertebral disc
10. Regarding MSK tumour
A- most common bone tumour is osteosarcoma
B- spine tenderness must always be excluded during physical examination
C- hypocalcemia is one of the common complication following 2 bone metastases
D- CT scan delineates bone marrow extension of bone tumour
E- Tx osteosarcoma is generally surgical excision and radiotherapy
11. regarding fracture of clavicle
A- usually involve the middle 1/3 of the clavicle
B- non-union is not common
C- fracture is diagnosed from plain radiograph
D- Cx include brachial plexus injury
E- usually treated conservatively
14. Management of major trauma
A- peripheral circulation should be assessed before airway is assessed
B- airway is assessed in cervical spine injury
C- CT-scanning is useful in unexplained shock
D- Jaw thrust is done to maintain airway in suspected cervical spine injury
16. A motorcyclist was admitted with open fracture of the tibia and fibula. True
regarding management
A- IV antibiotic is started immediately
B- wound debridement is done as soon as possible
C- the wound is sutured immediately to prevent contamination
D- IF is done when ext. fixator is not available
E- 10 amputation is one of the option for open fracture grade 3C in post tibial fracture
injury
18. Fat embolism syndrome
A- CNS depression
B- hypoxemia
C- presence of fat in urine and sputum
D- Unexplained drop in Hct or platelet value
E- usually within 72 hr after injury
19. Regarding finger injury
A- industrial causes most common causes
B- should be operated 6-8 hours if not preserved
C- should direct preserved with ice
D- nerve neuroma is the most complication
20. Regarding supracondylar fractureof the humerus
A- in children,it usually intraarticular
B- anterior fat pad sign is a feature in X-ray
C- cubitus valgus is common compared to cub. Varus
D- post. Interossioeus veins is the commonly injured
E- percutaneous pinning is a tx for open surgery
MCQ Orthopedic Year 4 Group 4 09/10
1. Acute compartment syndrome
a. Lower limb most commonly affected
b. 20mmHg difference between intracompartmental pressure and diastolic
blood pressure is diagnostic
c. Volkmanns contracture is a late complication
d. Cast should bivalve immediately
e. Renal failure if left untreated
2. Prolapsed intervertebral disc
a. L4-L5 is the most commonly affected site
b. Pain radiating to the anterior of knee
c. L5-S1 causes ankle reflex loss
d. Surgery is the main treatment
e. Listing to the side opposite to the painful side indicates a shoulder lesion
3. Fat emboli syndrome
a. Causes CNS depression
b.
c.
d.
e.
d) corticosteroids
e) rheumatoid arthritis
10. regarding # of the femoral neck in osteoporosis
a) caused by trivial injury
b) affected limb is externally rotated
c) cause AVN of femoral head
d) best treated by hip replacement
11. x ray changes in gouty arthritis
A. asymmetrical joints involvement
B. Eccentric soft tissue swelling
C. sclerotic margin around bony erosion
D. subluxated joints
E. severe osteoporosis
12. OA of hip
a) limitation of movement in early OA
b) fibrillation of aritcular cartilage is late stage
c) a walking aid is used on the same side of the OA hip
d) hip replacement surgery is surgical option
e) hip arthrodesis is indicated in severe OA in young patient
13. Radiological changes in osteomyelitis:
a) changes from previous xray
b)poor defined areas of osteolysis
c) thin linear periosteal reaction
d) sequestrum
e) onion peel effect
14. synovial aspitate analysis:
Viscosity low
WBC- 20000
PMN- 50%
Findings compatible with:
a) degenerative joint disease
b) pigmented villo-nodular synovitis
c) septic arthritis
d) RA
e) gouty arthritis
15.osteosarcoma
a)common in epipyhsis
b)common in flat bone
c)haematogenous spread cause lung metastasis
d)exclusively in adolesensce
e)sunburst appearance in x ray
Regarding osteoarthritis
a. It is more common in obese patients t
b. It is associated with raised serum calcium f
c. Intercondylar distance is measured in supine position f
d. Intraarticular steroid injection is recommended for acute exacerbation t
e. Total knee replacement is indicated in young active patient f
Regarding bioethics in orthopaedics practice
a. Patients religious belief should be respected although contraindicating with the
treatment plan
b. Patient is allowed to discuss with his/her family before giving consent t
c. Informed consent is irreversible t
d. In life threatening event, a surgeon can perform a life-saving surgery in
unconscious patient even without any consent from anyone t
e. Treatment options are given and patient is allowed to choose based on
discussion with the treating practitioner t
Regarding paediatric hip disorder
a. Waddling gait is seen in unilateral neglected congenital hip dislocation f
b. Excessive hip abduction in treating Developmental Dysplasia of Hip with hip
spica leads to avascular necrosis of femoral head t
c. Positive Barlow test signifies that the hip is totally dislocated but reducible
d. Transient synovitis of hip commonly shows joint effusion on ultrasound
e. Slipped capital femoral epiphysis is common in age less than 8 years
Regarding orthopaedic infections
a. Staphylococcus aureus is the predominant causative organism in necrotic
fasciitis
b. Streptococcus Group A is the predominant causative organism in gas gangrene
c. Streptococcus Group B is the predominant causative organism in cellulitis
d. Pseudomonas sp is the predominant causative organism in penetrative in injury
of the foot
e. Staphylococcus epidermidis is the predominant causative organism in abscess
Ortho MCQ 2009 group 3
1) Regarding ACL injury
a. It is cause by a posteriorly directed force to the front of tibia
b. It is common among female
c. It is usually associated with lateral collateral ligament injury
d. It is usually associated with medial meniscus injury
e. It can be treated with patella tendon autograft
( T,T,F,T,T)
2) Regarding PCL injuries
a. It is more common compare to ACL injury
(T,T,T,T,F)
(F,F,F,T,T)
(T,F,T,T,T)
8) In relation to gout
a. Abnormal protein metabolism is a cause
b. Tophi is a feature of acute case
c. Dietary restriction of white meat is part of the treatment
(T,T,T,T,T)
(T,T,N,N,T)
b.
c.
d.
e.
(F,T,T,T,T)